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NPI Code Detail

MEDICARE: BENJAMIN T WHITE MD

MEDICARE: BENJAMIN T WHITE MD
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
1207T00000XNeurological Surgery Physician24183OK

General Provider Information

NPI Number : 1417924143
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN T WHITE MD
Provider Business Mailing Address
First Line : 14100 PARKWAY COMMONS DR STE 100
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73134-6036
Country : US
Telephone Number : 405-748-3300
Fax Number :
Provider Business Practice Location Address
First Line : 14100 PARKWAY COMMONS DR STE 100
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73134-6036
Country : US
Telephone Number : 405-748-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2006
Last Update Date : 02/02/2022

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Directions to “ BENJAMIN T WHITE MD” Practice Location

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