Individual
PRODROMOS A VERVERELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 ELK CHASE CT, TAYLORSVILLE, KY 40071-7260
(610) 390-8228
Mailing address
400 ELK CHASE CT, TAYLORSVILLE, KY 40071-7260
(610) 390-8228
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
55069
KY
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MD044774L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015347530003
—
PA
Enumeration date
06/22/2005
Last updated
07/31/2023
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