Individual
DR. ZENOS ANTHONY VANGELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
26908 DETROIT RD, STE. 200, WESTLAKE, OH 44145-2398
(440) 250-8660
(440) 250-8639
Mailing address
26908 DETROIT RD, SUITE 301, WESTLAKE, OH 44145-2398
(440) 617-1823
(440) 617-0884
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
34-004137
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0689367
—
OH
01
—
P00381218
RR MEDICARE
OH
Enumeration date
03/20/2006
Last updated
09/08/2016
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