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Individual

BARTLETT WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-2073
(760) 924-4084
(760) 924-7285
Mailing address
PO BOX 660, MAMMOTH LAKES, CA 93546-0660
(760) 924-4084
(760) 924-7285

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1301
NV
363A00000X
Physician Assistant
Primary
PA22024
CA

Other

Enumeration date
11/07/2011
Last updated
12/04/2025
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