Individual provider · Type 1 NPI

Gordon Ellis White Ii, MD

Military Health Care Provider · Danville, IL

NPI number 1639169485 Active

Practice location

1900 E Main St
Danville, IL 61832-5100

Call (318) 801-4070 Map

Fax (318) 554-4807

Other practice locations

  • 201 4th St, Medical Plaza, Ste. 2E, Alexandria, LA 71301-8421 · (318) 443-9400

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X025398 (LA)
Military Health Care Provider Primary 171000000X025398 (LA)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

307 other providers at this address

About NPI 1639169485

Gordon Ellis White Ii, MD's National Provider Identifier is 1639169485, issued on Oct 24, 2005. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Danville, IL. The record was last updated on Jun 8, 2021.