person
Dr. Gordon Ellis White II, MD
Military Health Care Provider in Danville, Illinois
NPI 1639169485

Gordon Ellis White II is a Military Health Care Provider based in Danville, IL. Gordon Ellis White II practices in Danville, IL and has the professional credentials of MD. The NPI Number for Gordon Ellis White II is 1639169485 and holds a License No. 025398 (Illinois).

The current practice location address for Gordon Ellis White II is 1900 E Main St, Danville, IL and can be reached out via phone at 318-801-4070 and via fax at 318-554-4807. You can also correspond with Gordon Ellis White II through the mailing address at 1900 E MAIN ST, DANVILLE, IL - 61832-5100 (mailing address contact number: 318-801-4070).

Location: 1900 E Main St, Danville, IL, 61832-5100
person
Provider Profile Details
NPI Number
1639169485
Provider Name
Gordon Ellis White II
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1900 E Main St, Danville, IL, 61832-5100
Phone Number
318-801-4070
Fax Number
318-554-4807
Provider Enumeration Date
10/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1423688 05 LA
institution
Provider Business Practice Location Address Details
Address
1900 E Main St
City
State
Zip
61832-5100
Phone Number
318-801-4070
Fax Number
318-554-4807
person
Provider Business Mailing Address Details
Address
1900 E Main St
City
State
Zip
61832-5100
Phone Number
318-801-4070
Fax Number
318-554-4807
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
025398 (Louisiana)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
025398 (Louisiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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