Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 35082313W | OH |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD60575483 | WA |
NPI | 1023066024 |
---|---|
Provider Name | Judith A White |
First Address | Salt Lake City, UT 84125-0608 |
Second Address | Seattle, WA 98122-5698 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 08/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2411581 | (05) | OH |