MR. Broc Codi White, MD

NPI #1073856225 in Lander, Wyoming

Provider Information

NPI Number: 1073856225
Entity Type: Individual
Name: MR. Broc Codi White, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Apr 5, 2013
Last Updated: Jun 13, 2016

Practice Location

Address: 745 BUENA VISTA DR
City: Lander
State: Wyoming
ZIP Code: 82520-3431
Phone: (307) 332-2941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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