Organization
DR CORZAON A VEZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORAZON A VEZA MD (MD OWNER)
(270) 769-0167
Entity
Organization
Contact information
Practice address
1118 WOODLAND DR, ELIZABETHTOWN, KY 42701
(270) 769-0167
(270) 769-0168
Mailing address
1118 WOODLAND DR, ELIZABETHTOWN, KY 42701
(270) 769-0167
(270) 769-0168
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
23167
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447242110
INDIVIDUAL NPI NUMBER
—
01
—
4153
MEDICARE GRP PROVIDER NUM
—
05
—
64231673
—
KY
Enumeration date
07/03/2007
Last updated
08/22/2020
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