Individual
ELIZABETH F WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 ROBBINS RD, BOISE, ID 83702-4539
(208) 455-1400
(208) 455-1449
Mailing address
10603 JAY RD, BOISE, ID 83714-9779
(208) 455-1400
(208) 455-1449
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M6331
ID
207LP2900X
Pain Medicine (Anesthesiology) Physician
M6631
ID
207LP3000X
Pediatric Anesthesiology Physician
M6631
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J6717
BLUE CROSS
ID
Enumeration date
04/17/2007
Last updated
05/17/2021
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