LARRY D WHITE

ALBUQUERQUE, NM
NPI1134213523
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NM  A-112999)
Enumeration Date2006-10-03
Last Update Date2008-08-19
Business Address
LARRY D WHITE DO
PMG NORTHSIDE 5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Phone number: 505-823-8888
Mailing Address
LARRY D WHITE DO
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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