Organization
SLOBODAN B JUGO PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SLOBODAN B JUGO M.D. (OWNER)
(270) 338-6650
Entity
Organization
Contact information
Practice address
300 MEDICAL PLZ, GREENVILLE, KY 42345-1220
(270) 338-6650
(270) 338-6653
Mailing address
300 MEDICAL PLZ, GREENVILLE, KY 42345-1220
(270) 338-6650
(270) 338-6653
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64212129
—
KY
Enumeration date
07/26/2007
Last updated
07/18/2013
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