John White
NPI #1245205178 in Blytheville, Arkansas
Provider Information
- NPI Number
- 1245205178
- Entity Type
- Individual
- Name
- John White
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist
- Enumeration Date
- Feb 22, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1521 N 10TH ST
- City
- Blytheville
- State
- Arkansas
- ZIP Code
- 72315-1424
- Phone
- (870) 763-4224
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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