Provider Demographics
NPI:1821282492
Name:WHITE, BARBARA ANN (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ANN
Last Name:WHITE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 4886
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83711-4886
Mailing Address - Country:US
Mailing Address - Phone:208-214-4466
Mailing Address - Fax:208-464-9731
Practice Address - Street 1:1144 S SILVERSTONE WAY STE 160
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-8936
Practice Address - Country:US
Practice Address - Phone:208-214-4466
Practice Address - Fax:208-464-9731
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2024-11-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI43010862762085R0202X
CAA1172322085R0202X
IDM-130922085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology