DR. Jackie R White, MD

NPI #1417964107 in Imboden, Arkansas

Provider Information

NPI Number: 1417964107
Entity Type: Individual
Name: DR. Jackie R White, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Aug 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 201 N WALNUT
City: Imboden
State: Arkansas
ZIP Code: 72434
Phone: (870) 869-3101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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