Individual
SUSAN J WHITE
Active
Individual
SUSAN J WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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
Update your record
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