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General NPI Number Information
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NPI Number | 1003097841
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Entity Type | Individual
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Provider Name | VERONICA ZAK MD
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Gender | Female
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 1301 HIGHWAY 62 E
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-2708
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Country | US
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Telephone | 870-970-7140
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Fax | 870-701-3181
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Provider Business Mailing Address
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Address Line | PO BOX 497
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City | AUGUSTA
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State | AR
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Zip | 72006-0497
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Country | US
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Telephone | 870-347-3475
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Fax | 870-347-1165
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | E-12555
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License Number State | AR
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