Individual provider · Type 1 NPI

Jonathan Earl Velasco, MD

Vascular Surgery Physician · Dayton, OH

NPI number 1962477661 Active

Practice location

3533 Southern Blvd Ste 2200
Dayton, OH 45429-1264

Fax (937) 424-8659

Mailing address

1 Prestige Pl Ste 550
Miamisburg, OH 45342-6115

Other practice locations

  • One Elizabeth Place, Suite 10A, Dayton, OH 45408 · (937) 228-4126

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X35071454 (OH)
Vascular Surgery Physician Primary 2086S0129X35071454 (OH)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1962477661

Jonathan Earl Velasco, MD's National Provider Identifier is 1962477661, issued on Feb 17, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Dayton, OH. The record was last updated on Aug 13, 2024.