Individual
DR. CORAZON A VEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1118 WOODLAND DR, E TOWN, KY 42701-2763
(270) 769-0167
(270) 769-0168
Mailing address
1118 WOODLAND DR, E TOWN, KY 42701-2763
(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
—
1194923904
MEDICARE ID GRP #
KY
05
—
64231673
—
KY
Enumeration date
08/18/2005
Last updated
01/05/2010
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