Individual
GREGORY B WHITE
Active
Individual
GREGORY B WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01030904A
IN
207L00000X
Anesthesiology Physician
Primary
26944
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
01030904A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000040950
BLUE SHIELD
IN
01
—
000000223701
BLUE SHIELD
KY
01
—
050003368
RAILROAD MEDICARE
—
05
—
100236760
—
IN
01
—
50017752
PASSPORT
KY
05
—
64758543
—
KY
Enumeration date
06/09/2006
Last updated
06/07/2012
Update your record
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