Individual
DOUGLAS WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1065 DELAWARE AVE STE A, MARION, OH 43302-6461
(740) 387-7246
Mailing address
13698 COUNTY ROAD 126, PAULDING, OH 45879
(419) 399-3162
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.00287-NA
OH
Other
Enumeration date
03/14/2007
Last updated
03/26/2018
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