| Organization Name: | ANTHONY DEGUZMAN MD PSC |
| NPI Number: | 1205161239 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTHONY ASUNCION DEGUZMAN (DOCTOR / OWNER) |
| Mailing Address: | 309 Broadway St Paintsville |
| State: | KY US |
| Postal Code: | 412401348 |
| Phone Number: | 6067894450 |
| Fax Number: | 6067894452 |
| NPI Enumeration Date: | 10/08/2009 |
| NPI Last Update Date: | 07/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 31110 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |