Individual
DR. JULIE VESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6847 N CHESTNUT ST, RAVENNA, OH 44266-3929
(330) 297-0811
Mailing address
3828 HERON WATCH DR, AKRON, OH 44319-5800
(330) 245-1989
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
34-008035
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000298350
ANTHEM PROVIDER NUMBER
OH
05
—
2426708
—
OH
Enumeration date
08/11/2006
Last updated
07/08/2007
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