Provider Demographics
NPI:1063704005
Name:WHITE, JAMES A (RT(R))
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:A
Last Name:WHITE
Suffix:
Gender:M
Credentials:RT(R)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1220 GLACIER AVE
Mailing Address - Street 2:#309
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-1501
Mailing Address - Country:US
Mailing Address - Phone:541-980-9765
Mailing Address - Fax:
Practice Address - Street 1:3227 GLACIER HWY
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-7842
Practice Address - Country:US
Practice Address - Phone:907-500-9920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1050042471C3402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography