Individual
ORLANTHA WHITEHAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
483 W. SEED FARM RD, SACATON, AZ 85147-0038
(602) 528-1200
(602) 528-1255
Mailing address
PO BOX 38, SACATON, AZ 85147-0038
(602) 528-1200
(602) 528-1255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R70973
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R70973
TRAINING PERMIT
AZ
Enumeration date
07/15/2008
Last updated
03/09/2012
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