Individual
JASON W WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1600 S 20TH AVE, SAFFORD, AZ 85546-4011
(928) 965-0707
Mailing address
PO BOX 1318, THATCHER, AZ 85552-1318
(928) 965-0707
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0856
AZ
Other
Enumeration date
11/15/2011
Last updated
03/13/2017
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