Randall Glen White JR., MD

NPI #1295199016 in Bossier City, Louisiana

Provider Information

NPI Number: 1295199016
Entity Type: Individual
Name: Randall Glen White JR., MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Apr 7, 2016
Last Updated: Jun 17, 2021

Practice Location

Address: 2300 HOSPITAL DR STE 120
City: Bossier City
State: Louisiana
ZIP Code: 71111
Phone: (318) 212-7982

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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