Individual
SARAH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-3658
Mailing address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-3658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0062985
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2018
Last updated
08/17/2021
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