Doctor Name: | JAY W. WHITE |
NPI Number: | 1023017167 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 34007897 |
Business Practice Address: | 101 E Minnesota St Suite 210 Rapid City, SD - 577017756 |
Business Phone Number: | 6053423280 |
Business Fax Number: | 6057218458 |
Mailing Address: | 2820 Mount Rushmore Rd, RAPID CITY |
State: | SD |
Postal Code: | 577015462 |
Phone Number: | 6053423280 |
Fax Number: | 6057218458 |
NPI Enumeration Date: | 07/20/2005 |
NPI Last Update Date: | 05/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YX0905X |
License Number: | 34007897 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |