RICHARD E WHITE

FORT CARSON, CO
NPI1528210655
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence:   1082491)
Enumeration Date2008-10-21
Last Update Date2015-05-22
Business Address
-- RICHARD E WHITE PA-C
DIRAIMONDO FAMILY MEDICINE CLINIC BLDG 1041
FORT CARSON, CO 80913
Phone number: 719-526-1776
Mailing Address
-- RICHARD E WHITE PA-C
703 SEAWELL DR
COLORADO SPRINGS, CO 80911-3872
Phone number: 702-672-8997
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