Individual
TONY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 DELHI ST, SUITE 300, DUBUQUE, IA 52001-6320
(563) 557-5991
Mailing address
1515 DELHI ST, SUITE 300, DUBUQUE, IA 52001-6320
(563) 557-5991
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
42925
ID
367500000X
Certified Registered Nurse Anesthetist
114339
TN
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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