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Individual

RALPH W DE VERE WHITE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4860 Y ST, SUITE 3500, SACRAMENTO, CA 95817-2307
(916) 734-5154
(916) 734-8094
Mailing address
4860 Y ST, SUITE 3500, SACRAMENTO, CA 95817-2307
(916) 734-5154
(916) 734-8094

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
CA-C41591
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C415910
CA
Enumeration date
11/29/2005
Last updated
07/08/2007
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