Individual
MR. ADAM J WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2817 MCCLELLAND BLVD STE 252, JOPLIN, MO 64804-1647
(417) 206-3103
(417) 206-3102
Mailing address
2817 MCCLELLAND BLVD STE 252, JOPLIN, MO 64804-1647
(417) 206-3103
(417) 206-3102
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2005014703
MO
Other
Enumeration date
09/07/2006
Last updated
09/08/2009
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