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John M White, PA-C
Medical Physician Assistant in Shreveport, Louisiana
NPI 1558389833

John M White is a Medical Physician Assistant based in Shreveport, LA and is specialized in Medical. John M White practices in Shreveport, LA and has the professional credentials of PA-C. The NPI Number for John M White is 1558389833 and holds a License No. A10390 (Louisiana).

The current practice location address for John M White is 3217 Mabel St, Shreveport, LA and can be reached out via phone at 318-631-9121 and via fax at 318-631-9126.

Location: 3217 Mabel St, Shreveport, LA, 71103-4022
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Provider Profile Details
NPI Number
1558389833
Provider Name
John M White
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3217 Mabel St, Shreveport, LA, 71103-4022
Phone Number
318-631-9121
Fax Number
318-631-9126
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA.A10390 01 LA STATE LICENSE
1509264 05 LA
institution
Provider Business Practice Location Address Details
Address
3217 Mabel St
City
State
Zip
71103
Phone Number
318-631-9121
Fax Number
318-631-9126
person
Provider Business Mailing Address Details
Address
3217 Mabel St
City
State
Zip
71103
Phone Number
318-631-9121
Fax Number
318-631-9126
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
A10390 (Louisiana)
Definition
Definition to come...
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