Provider Demographics
NPI:1174819908
Name:DEVORE, JULIE ERIN (DO, MPH)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ERIN
Last Name:DEVORE
Suffix:
Gender:F
Credentials:DO, MPH
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ERIN
Other - Last Name:KOHLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:427 HOOK ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-1335
Mailing Address - Country:US
Mailing Address - Phone:742-316-7238
Mailing Address - Fax:
Practice Address - Street 1:427 HOOK ST
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-1335
Practice Address - Country:US
Practice Address - Phone:742-316-7238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT014014207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology