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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