MEDICARE: DAVID E WHITE PAC

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
1	363AM0700X	Medical Physician Assistant	363AMO700X	ID
2	363AM0700X	Medical Physician Assistant	PA1661	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609969443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID E WHITE PAC

Provider Business Mailing Address
First Line	:	250 COUNTRY CLUB PKWY
Second Line	:
City	:	SPRING CREEK
State	:	NV
Zip	:	89815-5830
Country	:	US
Telephone Number	:	775-750-7159
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 COUNTRY CLUB PKWY
Second Line	:
City	:	SPRING CREEK
State	:	NV
Zip	:	89815
Country	:	US
Telephone Number	:	775-750-7159
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	08/02/2018

Similar Medicare Providers

1194676056 — MR. BRANDON CHRISTOPHER KELLEY DPT PT
Practice Location Address:

248 COUNTRY CLUB PKWY
SPRING CREEK, NV
89815-5830

Practice Phone: 177-529-6844
Practice Fax:

1013978147 — MRS. JANET LOUISE GROPP
Practice Location Address:

139 SPRING CREEK PKWY
SPRING CREEK, NV
89815-5162

Practice Phone: 775-753-0905
Practice Fax:

1295756179 — DR. GERALD PAUL RAMPTON DMD
Practice Location Address:

263 SPRING VALLEY PKWY , SUITE A3
SPRING CREEK, NV
89815

Practice Phone: 775-738-3500
Practice Fax: 775-738-7277

1780695296 — SPRING CREEK PHARMACY LLC
Practice Location Address:

568 SPRING VALLEY CT
SPRING CREEK, NV
89815-6821

Practice Phone: 775-777-9119
Practice Fax: 775-777-3342

1326129552 — RANDY A MAULDIN DC
Practice Location Address:

263 SPRING VALLEY PKWY , SUITE E
SPRING CREEK, NV
89815-6828

Practice Phone: 775-753-9395
Practice Fax: 775-753-5921

1295961423 — DR. BARRY GENTRY SORENSON DMD
Practice Location Address:

263 SPRING VALLEY PKWY STE A3
SPRING CREEK, NV
89815-6826

Practice Phone: 775-738-3500
Practice Fax:

Directions to “ DAVID E WHITE PAC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.