Individual
EUGENE R DEGIORGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7034
(606) 833-2273
Mailing address
PO BOX M, RUSSELL, KY 41169-0510
(866) 286-5888
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27976
KY
2085R0202X
Diagnostic Radiology Physician
35062897
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000062617
BCBS
KY
05
—
0118690000
—
WV
05
—
0839981
—
OH
01
—
300111568
RAILROAD MEDICARE
OH
05
—
64279763
—
KY
01
—
P00265894
RAILROAD MEDICARE
KY
Enumeration date
10/28/2005
Last updated
10/12/2020
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