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NPI Code Detail

MEDICARE: ROBERT AUGUST WHITE M.D.

MEDICARE: ROBERT AUGUST WHITE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician14834AZ
2207QA0505XAdult Medicine Physician14834AZ

General Provider Information

NPI Number : 1205067386
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT AUGUST WHITE M.D.
Provider Business Mailing Address
First Line : 10000 S WILMOT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85756-8699
Country : US
Telephone Number : 520-574-0024
Fax Number :
Provider Business Practice Location Address
First Line : 10000 S WILMOT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85756-8699
Country : US
Telephone Number : 520-574-0024
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2009
Last Update Date : 08/06/2009

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Directions to “ ROBERT AUGUST WHITE M.D.” Practice Location

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