Individual
DR. MATTHEW JAMES WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 MCKINLEY PARK DR, MARION, OH 43302-6399
(740) 383-8700
(740) 383-8517
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4304
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-091508
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000570504
BCBS
OH
05
—
2845005
—
OH
Enumeration date
04/30/2007
Last updated
11/05/2008
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