Individual
GREGORY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
950 S MAIN ST, CELINA, OH 45822-2479
(419) 586-1611
Mailing address
632 LOXWOOD LN, DAYTON, OH 45458-6301
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34008681
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2700563
—
OH
Enumeration date
11/09/2006
Last updated
03/04/2008
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