Doctor Name: | MR. JAMES A WHITE |
NPI Number: | 1063704005 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RT(R) |
License Number: | 105004 |
Business Practice Address: | 3227 Glacier Hwy Juneau, AK - 998017842 |
Business Phone Number: | 9075009920 |
Business Fax Number: | |
Mailing Address: | 1220 Glacier Ave, #309 JUNEAU |
State: | AK |
Postal Code: | 998011501 |
Phone Number: | 5419809765 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2011 |
NPI Last Update Date: | 05/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471C3402X |
License Number: | 105004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Radiography |
Taxonomy Definition: |