NPI 1548457559

Gordon Ellis White Md,llc

Organisation Exclusive Provider Organization Alexandria, LA

Practice location

Address: 201 4th St Medical Plaza, STE. 2e, Alexandria, LA 71301-8421
Phone: (318) 443-9400
Fax: (318) 442-9406

Authorised official

Name: Gordon White
Title: Physican
Phone: (318) 443-9400

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 025398 (LA)

Other Exclusive Provider Organization providers in Louisiana →

Registry record

NPI: 1548457559
Entity type: Organization
NPI issued: 3 Oct 2007
Record last updated: 26 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.