| Christina G Waite Md & Associates Company | |
|
722 N Fairfield Rd Ste 200 Beavercreek OH 45434-5918 | |
| (937) 208-7022 | |
| (937) 208-7010 |
| Full Name | Christina G Waite Md & Associates Company |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 722 N Fairfield Rd, Beavercreek, Ohio |
| Authorized Official Name and Position | Kenneth Prunier (CEO/PRESIDENT) |
| Authorized Official Contact | 9372088213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christina G Waite Md & Associates Company 722 N Fairfield Rd Ste 200 Beavercreek OH 45434-5918 Ph: (937) 208-7022 | Christina G Waite Md & Associates Company 722 N Fairfield Rd Ste 200 Beavercreek OH 45434-5918 Ph: (937) 208-7022 |
| NPI Number | 1548213036 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 03/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548213036 | NPI | - | NPPES |
| 2576869 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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