William White JR. PA

NPI 1447667753 - Physician Assistant - 363A00000X

NPI Details
NPI 1447667753
Gender Male
Enumeration Date 07/18/2014
Last Updated 01/14/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
BUILDING 1876 FORT PICKETT
VIRGINIA ARMY NATIONAL GUARD
BLACKSTONE VA, 23824, US
Phone (434) 294-1317
Fax
Business Location
14006 BLUFF RIDGE DR
CHESTERFIELD VA, 23838-8733, US
Phone (434) 294-1317
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, William White JR. PA NPI is 1447667753, taxonomy code is 363A00000X William White JR. PA physically located at Building 1876 Fort Pickett, Blackstone VA, 23824. NPI Number William White JR. PA has the Individual type.

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1447667753 NPI number is provided on an as is basis without warranty of any kind. 1447667753 is maintained by the National Plan & Provider Enumeration System. The contents of William White JR. PA are for informational purposes only.