| Doctor Name: | GENEROSO GUZMAN |
| NPI Number: | 1295842342 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | R4B70 |
| Business Practice Address: | 701 E Lincoln St Hayti, MO - 638511738 |
| Business Phone Number: | 5733593550 |
| Business Fax Number: | 5733593557 |
| Mailing Address: | 701 E Lincoln St, P O Box 489 HAYTI |
| State: | MO |
| Postal Code: | 638511738 |
| Phone Number: | 5733593550 |
| Fax Number: | 5733593557 |
| NPI Enumeration Date: | 08/24/2006 |
| NPI Last Update Date: | 10/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | R4B70 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |