Individual
JULIA WHITESIDE-DE VOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2984 BRIGHTON RD, SHAKER HEIGHTS, OH 44120-1721
(216) 752-8044
Mailing address
2984 BRIGHTON RD, SHAKER HEIGHTS, OH 44120-1721
(216) 752-8044
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35.080229
OH
207W00000X
Ophthalmology Physician
Primary
E-0146
AR
207W00000X
Ophthalmology Physician
G61894
CA
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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