DR. Gordon Ellis White, M.D. is a military health care provider in Danville, IL with 24 years of experience. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. DR. Gordon Ellis White, M.D. NPI is 1639169485. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:2000
The provider's business location address is:
1900 E MAIN ST
DANVILLE, IL
ZIP 61832-100
Phone: (318) 801-4070
Fax: (318) 554-4807
The NPI 1639169485 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/24/2005 and was last updated on 6/8/2021.