Phillip Maroudis O.D., P.S.C.

NPI 1053310763 - Optometrist - 152W00000X

NPI Details
NPI 1053310763
Gender Male
Enumeration Date 07/15/2005
Last Updated 04/24/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
1201 13TH ST
ASHLAND KY, 41101-2607, US
Phone (606) 329-1404
Fax (606) 325-7446
Business Location
1201 13TH ST
ASHLAND KY, 41101-2607, US
Phone (606) 329-1404
Fax (606) 325-7446
Toxanomy
Taxonomy Code 152W00000X
License State Kentucky
License Number 703DT
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According to our database, Phillip Maroudis O.D., P.S.C. NPI is 1053310763, taxonomy code is 152W00000X and license number is 703DT, license state is located at Kentucky. Phillip Maroudis O.D., P.S.C. physically located at 1201 13th St, Ashland KY, 41101-2607. NPI Number Phillip Maroudis O.D., P.S.C. has the Individual type.

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1053310763 NPI number is provided on an as is basis without warranty of any kind. 1053310763 is maintained by the National Plan & Provider Enumeration System. The contents of Phillip Maroudis O.D., P.S.C. are for informational purposes only.