Individual
BENJAMIN ROBERT WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84132-2360
(269) 240-0564
Mailing address
8407 S DYNASTY WAY, COTTONWOOD HEIGHTS, UT 84121-6046
(269) 240-0564
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9158424-1205
UT
Other
Enumeration date
03/24/2013
Last updated
03/02/2023
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