Organization
SUSAN E WHITE MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN E WHITE M.D. (PEDIATRICIAN)
(405) 326-8615
Entity
Organization
Contact information
Practice address
2820 N. KELLY AVENUE, SUITE 200, EDMOND, OK 73003
(405) 726-8000
(405) 726-8101
Mailing address
2820 N. KELLY AVENUE, SUITE 200, EDMOND, OK 73003
(405) 726-8000
(405) 726-8101
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200473990A
—
OK
Enumeration date
09/27/2021
Last updated
09/27/2021
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