Provider Demographics
NPI:1659527026
Name:VUKELIC, VALARIE MEREDITH (DO)
Entity Type:Individual
Prefix:
First Name:VALARIE
Middle Name:MEREDITH
Last Name:VUKELIC
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11279 PERRY HWY
Mailing Address - Street 2:SUITE 450
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9381
Mailing Address - Country:US
Mailing Address - Phone:724-933-1100
Mailing Address - Fax:
Practice Address - Street 1:1 BRADDOCK ROAD AVENUE
Practice Address - Street 2:SUITE C
Practice Address - City:MOUNT PLEASANT
Practice Address - State:PA
Practice Address - Zip Code:15666-1458
Practice Address - Country:US
Practice Address - Phone:724-547-5103
Practice Address - Fax:724-547-6147
Is Sole Proprietor?:No
Enumeration Date:2008-08-17
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS016810208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics