Individual
DR. MATTHEW FRANCIS VERONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1325 LOCUST AVE, FAIRMONT, WV 26554-1435
(304) 367-7100
Mailing address
PO BOX 634715, CINCINNATI, OH 45263-0001
(304) 592-1860
(304) 592-0867
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1533
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0047192000
—
WV
01
—
1041388
WEST VIRGINIA WORKER COMP
WV
01
—
621266047047
MOUNTAIN STATE BLUE SHIEL
WV
Enumeration date
05/22/2006
Last updated
11/07/2007
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