ANGELA BROAD WHITE

TUBA CITY, AZ
NPI1669905600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  A159782)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-04-06
Last Update Date2022-02-18
Business Address
ANGELA BROAD WHITE MD
167 N MAIN ST
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
Mailing Address
ANGELA BROAD WHITE MD
1411 E 31ST ST QIC 22123
OAKLAND, CA 94602-1018
Phone number: