Individual
BRIAN J WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6847 N CHESTNUT ST, SUITE 325, RAVENNA, OH 44266-3929
(330) 296-6969
(330) 296-7710
Mailing address
1900 23RD ST, STE 1200, CUYAHOGA FALLS, OH 44223-1404
(330) 253-1411
(330) 253-1720
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
34003638
OH
207RP1001X
Pulmonary Disease Physician
Primary
34003638
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0695770
—
OH
Enumeration date
08/10/2006
Last updated
09/16/2020
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