Individual
DR. CARISSA MICHELLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 884-7770
(573) 882-9876
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2023033640
MO
2085R0202X
Diagnostic Radiology Physician
MD466353
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103599188
—
PA
05
—
2103309
—
WA
Enumeration date
07/20/2012
Last updated
09/19/2023
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