Healthcare Provider Details

I. General information

NPI: 1558329656
Provider Name (Legal Business Name): DAWN MICHELLE WHITE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAWN MICHELLE BROOME MD

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LANDSTUHL REGIONAL MEDICAL CENTER CMR 402, BOX 3#
APO AE
09180
DE

IV. Provider business mailing address

CMR 402 BOX #3
APO AE
09180
DE

V. Phone/Fax

Practice location:
  • Phone: 011496371867276
  • Fax:
Mailing address:
  • Phone: 011496371867276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number43720
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: