Organization
GORDON ELLIS WHITE II MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON E WHITE MD (OWNER)
(318) 801-4070
Entity
Organization
Contact information
Practice address
301 W BOUNDARY AVE, WINNFIELD, LA 71483-3427
(318) 648-3034
(318) 648-3104
Mailing address
301 W BOUNDARY AVE, WINNFIELD, LA 71483-3427
(318) 648-3034
(318) 648-3104
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.025398
LA
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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