DR. MARY WHITE PC NPI 1174724520

NPI Information

DR. MARY WHITE PC is a podiatrist in Rockford, IL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. MARY WHITE PC NPI is 1174724520. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6451 E RIVERSIDE BLVD
STE 104
ROCKFORD, IL
ZIP 61114-421
Phone: (815) 282-4000

The provider's authorized official is Mary White .
The authorized official title is Owner and has the following contact phone number (815) 282-4000.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 11/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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