| Doctor Name: | BRIAN LEE VEREB |
| NPI Number: | 1013266774 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP-C |
| License Number: | COA.13794-NP |
| Business Practice Address: | 3562 Ridge Park Dr Ste. A Fairlawn, OH - 443339294 |
| Business Phone Number: | 3306640767 |
| Business Fax Number: | 3306654190 |
| Mailing Address: | 3562 Ridge Park Dr, Ste. A FAIRLAWN |
| State: | OH |
| Postal Code: | 443339294 |
| Phone Number: | 3306640767 |
| Fax Number: | 3306654190 |
| NPI Enumeration Date: | 09/09/2012 |
| NPI Last Update Date: | 01/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | COA.13794-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |