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Organization

MARK VERONNEAU PLASTICS & ENT, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK JOSEPH VERONNEAU D.O. (PHYSICIAN)
(606) 886-2712
Entity
Organization

Contact information

Practice address
5322 KY ROUTE 321, PRESTONSBURG, KY 41653-9114
(606) 886-2712
(606) 886-2712
Mailing address
PO BOX 513, STAFFORDSVILLE, KY 41256-0513
(606) 886-2712
(606) 886-2713

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
231H00000X
Audiologist
363A00000X
Physician Assistant
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
12/05/2006
Last updated
06/23/2015
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