Individual
DR. JUSTIN DAVID WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
338 SW MAIN ST, LEES SUMMIT, MO 64063-2340
(816) 600-5483
Mailing address
10342 GODDARD ST APT 159, OVERLAND PARK, KS 66214-3084
(207) 931-8705
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2019001365
MO
Other
Enumeration date
01/20/2019
Last updated
01/20/2019
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