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Individual

DR. JEFFREY A WHITE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
950 S MAIN ST, SUITE 1, CELINA, OH 45822-2479
(419) 586-7940
(419) 586-7815
Mailing address
950 S MAIN ST, SUITE 1, CELINA, OH 45822-2479
(419) 586-7940
(419) 586-7815

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35079257
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2238528
OH
Enumeration date
06/09/2006
Last updated
07/08/2007
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