Individual
MR. SHAUN MATTHEW WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3000 HOSPITAL DR, BATAVIA, OH 45103-1921
(513) 732-8278
(513) 732-8537
Mailing address
7222 MARIEMONT CRES, CINCINNATI, OH 45227-3932
(513) 746-9228
(513) 732-8537
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.002125
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000588608
ANTHEM PIN
OH
Enumeration date
07/05/2006
Last updated
11/17/2008
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