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Individual

DAVID MATTHEW WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
111 N BAILEY ST, PRYOR, OK 74361-4201
(918) 825-1600
(918) 824-6316
Mailing address
111 N BAILEY ST, PRYOR, OK 74361-4201
(918) 825-1600
(918) 824-6316

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
82301
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
82301
STATE
OK
Enumeration date
01/05/2010
Last updated
01/05/2010
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