Healthcare Provider Details

I. General information

NPI: 1902965221
Provider Name (Legal Business Name): ANTHONY F VEROW MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 09/03/2021
Certification Date: 09/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 N MILDRED RD
CORTEZ CO
81321-2231
US

IV. Provider business mailing address

PO BOX 15000
DURANGO CO
81302-8901
US

V. Phone/Fax

Practice location:
  • Phone: 970-564-6666
  • Fax:
Mailing address:
  • Phone: 970-259-2525
  • Fax: 970-247-0421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number37937
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: