Individual
PHILLIP OLIVER WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
502 E 9TH ST, COZAD, NE 69130-1927
(308) 746-1400
Mailing address
502 E 9TH ST, COZAD, NE 69130-1927
(308) 746-1400
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NE
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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