Dr. John R White Jr., PA-C, PharmD
Physician Assistant in Spokane, WA. Individual provider (NPI-1).
NPI number1154774776
StatusActive
Last updated in NPPESJul 19, 2016
Details
- NPI
- 1154774776
- Entity type
- Individual (NPI-1)
- Name
- Dr. John R White Jr.
- Credential
- PA-C, PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2016
- Last updated
- Jul 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA 10003784 | WA | Yes |
| 183500000X | Pharmacist | PH 00017312 | WA |
Practice location
310 N Riverpoint BlvdSpokane, WA 99202-1610
Phone 509-358-7731
Mailing address
310 N Riverpoint BlvdSpokane, WA 99202-1610
Phone 509-358-7731
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