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NPI Code Detail

MEDICARE: MR. BARRY L WHITE HS

MEDICARE:  MR. BARRY L WHITE  HS
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
1237700000XHearing Instrument Specialist68AK

General Provider Information

NPI Number : 1962603803
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BARRY L WHITE HS
Provider Business Mailing Address
First Line : 3030 DENALI ST
Second Line : SUITE 10
City : ANCHORAGE
State : AK
Zip : 99503-4027
Country : US
Telephone Number : 907-344-4900
Fax Number : 907-344-1218
Provider Business Practice Location Address
First Line : 3030 DENALI ST
Second Line : SUITE 10
City : ANCHORAGE
State : AK
Zip : 99503-4027
Country : US
Telephone Number : 907-344-4900
Fax Number : 907-344-1218
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2007
Last Update Date : 07/08/2007

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Directions to “ MR. BARRY L WHITE HS” Practice Location

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