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Individual

GREGORY B WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1300 S BURKHARDT RD, EVANSVILLE, IN 47715-6006
(812) 473-0181
(812) 473-5822
Mailing address
1300 S BURKHARDT RD, EVANSVILLE, IN 47715-6006
(812) 473-0181
(812) 473-5822

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
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