| Anthony Deguzman Md Psc | |
|
309 Broadway St Paintsville KY 41240-1348 | |
| (606) 789-4450 | |
| (606) 789-4452 |
| Full Name | Anthony Deguzman Md Psc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 309 Broadway St, Paintsville, Kentucky |
| Authorized Official Name and Position | Anthony Asuncion Deguzman (DOCTOR / OWNER) |
| Authorized Official Contact | 6067894450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Deguzman Md Psc 309 Broadway Street Paintsville KY 41240 Ph: (606) 789-4450 | Anthony Deguzman Md Psc 309 Broadway St Paintsville KY 41240-1348 Ph: (606) 789-4450 |
| NPI Number | 1205161239 |
|---|---|
| Provider Enumeration Date | 10/08/2009 |
| Last Update Date | 07/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205161239 | NPI | - | NPPES |
| 64311103 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 31110 (Kentucky) | Primary |
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