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Peter R White, MD
General Practice Physician in Celina, Ohio
NPI 1215984661

Peter R White is a General Practice Physician based in Saint Marys, OH. Peter R White practices in Celina, OH and has the professional credentials of MD. The NPI Number for Peter R White is 1215984661 and holds a License No. 35-072242 (Ohio).

The current practice location address for Peter R White is 801 Pro Dr, Celina, OH and can be reached out via phone at 419-394-3387 and via fax at 419-586-8509.

Location: 801 Pro Dr, Celina, OH, 45885-2400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215984661
Provider Name
Peter R White
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
801 Pro Dr, Celina, OH, 45885-2400
Phone Number
419-394-3387
Fax Number
419-586-8509
Provider Enumeration Date
05/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1942630348 01 OH GROUP NPI- GRAND LAKE FAMILY & PEDIATRICS
H280560 01 OH MEDICARE INDIVIDUAL PTAN
9934723 01 OH MEDICARE GROUP PTAN
2016204 05 OH
institution
Provider Business Practice Location Address Details
Address
801 Pro Dr
City
Celina
State
Ohio
Zip
45822-3307
Phone Number
419-394-3387
Fax Number
419-586-8509
person
Provider Business Mailing Address Details
Address
801 Pro Dr
City
Celina
State
Ohio
Zip
45822-3307
Phone Number
419-394-3387
Fax Number
419-586-8509
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
35-072242 (Ohio)
Definition
Definition to come...
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