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Individual

DR. EDWARD H WALDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1317 TERRACE RD NW, NORTH CANTON, OH 44720-2236
(330) 497-9797
(330) 497-0029
Mailing address
1317 TERRACE RD NW, NORTH CANTON, OH 44720-2236
(330) 497-9797
(330) 497-0029

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
824
VT
111NX0800X
Orthopedic Chiropractor
Primary
867
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000132415
ANTHEM-BC ID
OH
05
0450202
OH
Enumeration date
11/07/2006
Last updated
07/09/2007
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