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Individual

BETHANIE ROSELLA WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3723 W 12600 S STE 270, RIVERTON, UT 84065-7296
(801) 285-4600
(801) 285-4601
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
7771498-1205
UT
208600000X
Surgery Physician
MD60449457
WA

Other

Enumeration date
04/27/2009
Last updated
08/29/2024
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