MEDICARE: DR. CIRRUS RENAE MICAH VERITY MD

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	171000000X	Military Health Care Provider

General Provider Information

NPI Number	:	1265220891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CIRRUS RENAE MICAH VERITY MD

Provider Business Mailing Address
First Line	:	4881 SUGAR MAPLE DR
Second Line	:
City	:	WPAFB
State	:	OH
Zip	:	45433-5529
Country	:	US
Telephone Number	:	937-257-9926
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 E APPLE ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45409-2939
Country	:	US
Telephone Number	:	937-257-9926
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2025
Last Update Date	:	03/18/2026

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