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Individual

SAMUEL RUSSELL VESTER

Active
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Individual

SAMUEL RUSSELL VESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
29644
KY
208600000X
Surgery Physician
35061926V
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
29644
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35.061926
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35061926V
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000005014
ANTHEM
—
05
—
0840862
—
OH
01
—
1820066
UNITED HEALTHCARE
—
05
—
200058070B
—
IN
01
—
310804060033
CARESOURCE
—
01
—
61926
CHOICE CARE/HUMANA
—
05
—
64296445
—
KY
01
—
8330
KY BCBS
—
Enumeration date
07/04/2006
Last updated
07/14/2023
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