Provider Demographics
NPI:1063259505
Name:VEROS CLINICAL SERVICES LLC
Entity type:Organization
Organization Name:VEROS CLINICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RONI
Authorized Official - Middle Name:GLICKER
Authorized Official - Last Name:MUSHOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-209-1819
Mailing Address - Street 1:3003 E 3RD AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-5120
Mailing Address - Country:US
Mailing Address - Phone:303-209-1819
Mailing Address - Fax:
Practice Address - Street 1:3003 E 3RD AVE STE 206
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-5120
Practice Address - Country:US
Practice Address - Phone:303-209-1819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty