Organization
WHITEAMIRE CLINIC PA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSTY V WHITEAMIRE D.O. (OWNER)
(567) 560-3179
Entity
Organization
Contact information
Practice address
2031 PARK AVE W, ONTARIO, OH 44906-2234
(419) 529-2055
Mailing address
2031 PARK AVE W, ONTARIO, OH 44906-2234
(567) 560-3179
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
T47262
OH
Other
Enumeration date
08/05/2007
Last updated
01/16/2019
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