Individual
WILLIAM BRADLEY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10599
NH
207X00000X
Orthopaedic Surgery Physician
53532
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107608Y0NH03
ANTHEM BCBS MOA
NH
01
—
017608Y0NH02
ANTHEM BCBS MCH
NH
05
—
30000253
—
NH
Enumeration date
05/25/2006
Last updated
07/14/2015
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