Individual
BRUCE DAVID WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
124 W THOMAS RD, SUITE 240, PHOENIX, AZ 85013-4405
(602) 406-5199
Mailing address
3200 N CENTRAL AVE, ST. 900, PHOENIX, AZ 85012-2425
(602) 406-3729
(602) 798-9412
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3997
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852261
—
AZ
Enumeration date
05/19/2006
Last updated
03/07/2023
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