NPI 1215923495

John Bowman White, DPM

Practitioner Primary Podiatric Medicine Podiatrist Hurricane, WV

Practice location

Address: 3860 Teays Valley Rd Suite 1, Hurricane, WV 25526-9772
Phone: (304) 757-5880
Fax: (304) 757-5881

Registered specialties (3)

Primary Podiatric Medicine Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence 00313 (WV)

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Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0000X Licence 00313 (WV)

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Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 00313 (WV)

Registry record

NPI: 1215923495
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Sep 2005
Record last updated: 17 Mar 2011

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.