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NPI Code Detail

MEDICARE: JULIE MAE ALDERSON D.O.

MEDICARE: JULIE MAE ALDERSON D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician34.014253OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11811337736OTHEROHNPI

General Provider Information

NPI Number : 1811337736
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE MAE ALDERSON D.O.
Provider Business Mailing Address
First Line : 374 E TOMPKINS ST APT 2
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-2752
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1590 COAL RUN RD
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-9167
Country : US
Telephone Number : 740-297-4417
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2013
Last Update Date : 02/20/2026

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