Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD60180644 | WA |
NPI | 1003804998 |
---|---|
Provider Name | Ms. Catherine Marie White |
First Address | Butte, MT 59701 |
Second Address | Butte, MT 59701-2870 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2005 |
Last Update Date | 24/04/2020 |