Individual
DR. JUSTIN M WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1603 W KIMMEL, MARION, IL 62959
(618) 997-2112
Mailing address
1603 W KIMMEL ST, MARION, IL 62959-1008
(618) 993-2906
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012586
IL
Other
Enumeration date
07/03/2014
Last updated
09/17/2019
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