Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GORDON ELLIS WHITE II, M.D.
ActiveDR. GORDON ELLIS WHITE II, M.D. is a Military Health Care Provider healthcare provider located in DANVILLE, Illinois. NPI 1639169485 is currently active in the NPPES registry. Verify at CMS.
Military Health Care Provider · DANVILLE, IL
Registration Details
- NPI Number
- 1639169485
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2005 (20.795222781788 yrs)
- Last Updated
- Jun 8, 2021
- Licenses
-
025398 (LA)025398 (LA)
Practice Information
- Address
-
1900 E MAIN STDANVILLE, IL, 618325100Browse IL providers · Browse ZIP 61832
- Phone
- 3188014070
- Fax
- 3185544807
- Primary Specialty
-
Military Health Care Provider
171000000X
- Additional Specialty
- Military Health Care Provider
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.