Organization
WHITESIDE ORTHOTIC AND PROSTHETIC GROUP, INC.
Active
Organization
WHITESIDE ORTHOTIC AND PROSTHETIC GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH WILLIAM WHITESIDE C.O. (PRESIDENT / CLINICAL DIRECTOR)
(330) 360-0900
Entity
Organization
Contact information
Practice address
8571 FOXWOOD CT, YOUNGSTOWN, OH 44514-4313
(330) 360-0900
Mailing address
3267 OLDE WINTER TRL, POLAND, OH 44514-2893
(330) 360-0900
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
LO-151
OH
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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