Organization
J. WILSON WHITE, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA E FUKUSHIMA (OFFICE MANAGER)
(707) 963-2200
Entity
Organization
Contact information
Practice address
6 WOODLAND RD, SAINT HELENA, CA 94574-9501
(707) 963-2200
(707) 967-5135
Mailing address
6 WOODLAND RD, SAINT HELENA, CA 94574-9501
(707) 963-2200
(707) 967-5135
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A21588
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A215880
—
CA
Enumeration date
06/02/2006
Last updated
08/22/2020
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