| Doctor Name: | DAVID E WHITE |
| NPI Number: | 1609969443 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PAC |
| License Number: | 363AMO700X |
| Business Practice Address: | 267 North Canyon Dr Gooding, ID - 833305500 |
| Business Phone Number: | 2089344433 |
| Business Fax Number: | |
| Mailing Address: | 267 North Canyon Dr., GOODING |
| State: | ID |
| Postal Code: | 833305500 |
| Phone Number: | 2089344433 |
| Fax Number: | 2089344788 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 12/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 363AMO700X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |