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Organization

WHITESTAR PROFESSIONAL CORPORATION

Active
Other names
Skyvision Centers
Organization subpart
No

Provider details

NPI number
Authorized official
DARRELL WHITE MD (PRESIDENT)
(440) 892-3931
Entity
Organization

Contact information

Practice address
2237 CROCKER RD # 100, WESTLAKE, OH 44145-6789
(440) 892-3931
Mailing address
2237 CROCKER RD # 100, WESTLAKE, OH 44145-6789

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2534574
OH
Enumeration date
05/14/2007
Last updated
06/25/2008
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