Provider Demographics
NPI:1962412775
Name:WHITE, ROBERT ELIOT (MD MPH)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ELIOT
Last Name:WHITE
Suffix:
Gender:M
Credentials:MD MPH
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Mailing Address - Street 1:PO BOX 26028
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87125-6028
Mailing Address - Country:US
Mailing Address - Phone:505-232-1617
Mailing Address - Fax:505-262-7729
Practice Address - Street 1:303 ROMA AVE NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-2251
Practice Address - Country:US
Practice Address - Phone:505-262-7073
Practice Address - Fax:505-262-7891
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM79-100207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine