NPI 1124019997

Michael Brian Beres, MD

Practitioner Ophthalmology Physician Logan, WV

Practice location

Address: 77 Hospital Dr Suite 400, Logan, WV 25601-3451
Phone: (304) 792-1480
Fax: (304) 792-1481
Mailing address: PO Box 116, Logan, WV 25601-0116

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 20176 (WV)

Other Ophthalmology providers in West Virginia →

Registry record

NPI: 1124019997
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Nov 2005
Record last updated: 21 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.