Organization
WHITE MOUNTAIN PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDITH BAILEY MD (PRESIDENT)
(928) 367-1300
Entity
Organization
Contact information
Practice address
43 W WHITE MOUNTAIN BLVD, SUITE B, LAKESIDE, AZ 85929-7002
(928) 367-1300
(928) 367-1330
Mailing address
PO BOX 2942, PINETOP, AZ 85935-2942
(928) 367-1300
(928) 367-1330
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
10/20/2011
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