White Tank Medical PLLC
White Tank Medical PLLC provides Family Medicine Physician services in Surprise, Arizona. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
18761 N Reems Rd Ste 400Surprise, AZ 85374-8646
Phone: (623) 583-9180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1306549837 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Justin Woodside — Owner · (623) 583-9180 |
| NPI enumerated | March 23, 2023 |
| Last updated in NPPES | March 23, 2023 |
| Certification date | March 23, 2023 |
| Mailing address | 18761 N Reems Rd Ste 400, Surprise, AZ 85374-8646 |
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