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Angela Broad White, MD

Emergency Medicine in Tuba City, AZ. Individual provider (NPI-1).

NPI number1669905600
StatusActive
Last updated in NPPESFeb 18, 2022

Details

NPI
1669905600
Entity type
Individual (NPI-1)
Name
Angela Broad White
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 6, 2017
Certification date
Feb 18, 2022
Last updated
Feb 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineA159782CAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

167 N Main St
Tuba City, AZ 86045-0600

Phone 928-283-2501

Mailing address

1411 E 31st St
Qic 22123
Oakland, CA 94602-1018

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Other Emergency Medicine Physician providers in Tuba City, AZ

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