Clinton White

NPI 1629274675 · on the registry since 2007

Practice

Address: 210 W Lacrosse Ave
Coeur D Alene, ID 83814
Phone: (208) 664-2185
Organisation at this address: Silver Ridge Care, Llc
Mason Park Healthcare, Inc.
Fmg West Lacrosse Avenue Idaho Llc
Lacrosse Health- Coeur D'Alene, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 28

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho