Individual
JULIE A ITTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
400 ALTAIR PKWY STE 3300, WESTERVILLE, OH 43082-7653
(614) 882-0708
(614) 882-2878
Mailing address
400 ALTAIR PKWY STE 3300, WESTERVILLE, OH 43082-7653
(614) 882-0708
(614) 882-2878
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.015000
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442215
—
OH
Enumeration date
03/17/2018
Last updated
02/21/2022
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