Provider Demographics
NPI:1245428580
Name:MARK S VERES DPM
Entity type:Organization
Organization Name:MARK S VERES DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:VERES
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:334-272-0080
Mailing Address - Street 1:4152 CARMICHAEL # B
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-2931
Mailing Address - Country:US
Mailing Address - Phone:334-272-0080
Mailing Address - Fax:334-279-2001
Practice Address - Street 1:4152 CARMICHAEL RD STE B
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-2931
Practice Address - Country:US
Practice Address - Phone:334-272-0080
Practice Address - Fax:334-279-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL93213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty