Individual
SAGE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047
(289) 289-4646
(928) 289-8140
Mailing address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(385) 288-8420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
54495
AZ
207Q00000X
Family Medicine Physician
9495064-1205
UT
Other
Enumeration date
05/26/2014
Last updated
05/22/2018
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