| Doctor Name: | IGNACIO CABEZUDO |
| NPI Number: | 1538161864 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 29743 |
| Business Practice Address: | 439 Us Highway 158 W Yanceyville, NC - 273798304 |
| Business Phone Number: | 3366949331 |
| Business Fax Number: | 3366947511 |
| Mailing Address: | 439 Us Highway 158 W, YANCEYVILLE |
| State: | NC |
| Postal Code: | 273798304 |
| Phone Number: | 3366949331 |
| Fax Number: | 3366947511 |
| NPI Enumeration Date: | 05/31/2005 |
| NPI Last Update Date: | 11/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/20/2006 |
| NPI Reactivation Date: | 04/21/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 29743 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |