Individual
SUSAN J WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1213
(602) 933-1214
Mailing address
1919 E THOMAS RD, BLDG 2108, SUITE 101, PHOENIX, AZ 85016-7710
(602) 512-8030
(602) 512-8161
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
21752
AZ
2085R0202X
Diagnostic Radiology Physician
01036403
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100320260
—
IN
05
—
529208
—
AZ
Enumeration date
08/25/2006
Last updated
01/11/2013
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