Organization
DR. SUZANNE J WHITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE J WHITE M.D. (PHYSICIAN)
(209) 827-1440
Entity
Organization
Contact information
Practice address
285 MERCEY SPRINGS RD, STE D, LOS BANOS, CA 93635-3878
(209) 827-1440
Mailing address
285 MERCEY SPRINGS RD, STE D, LOS BANOS, CA 93635-3878
(209) 827-1440
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
A64192
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A641920
—
CA
Enumeration date
07/10/2006
Last updated
08/22/2020
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