Slava L White, PA

NPI #1578547444 in North Mankato, Minnesota

Provider Information

NPI Number: 1578547444
Entity Type: Individual
Name: Slava L White, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 2, 2005
Last Updated: Sep 17, 2020

Practice Location

Address: 1695 LOR RAY DR
City: North Mankato
State: Minnesota
ZIP Code: 56003-2804
Phone: (507) 387-8231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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