Individual
ANGELA MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13953 S BANGERTER PKWY, DRAPER, UT 84020-5429
(385) 900-4090
(801) 365-1033
Mailing address
13953 S BANGERTER PKWY, DRAPER, UT 84020-5429
(385) 900-4090
(801) 365-1033
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10540353-1206
UT
Other
Enumeration date
10/18/2017
Last updated
03/17/2018
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