ANTHONY DEGUZMAN MD PSC
Ambulatory Health at Broadway St, Offutt, KY

License number
Kentucky 31110
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. ANTHONY ASUNCION DEGUZMAN MD PSC
Title: DOCTOR / OWNER
Phone: (606) 789-4450
Address
Address
309 Broadway St, Offutt, KY 41240
National Provider ID: 1205161239
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ANTHONY DEGUZMAN, M.D., P.S.C

309 Broadway St, Paintsville, KY 41240

Status:
Inactive
Registration:
Apr 21, 2009
State ID:
0728229
Business type:
Kentucky Professional Services Corp
Shareholders:
Anthony Deguzman (President),Frely P. Deguzman (Vice President),Frely Deguzman (Shareholder)

Ambulatory Health licenses in Kentucky


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