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Organization

PHILLIP MAROUDIS OD PSC & JOHN MORTON PTR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHILLIP MAROUDIS O.D.,P.S.C. (OPTOMETRIST)
(606) 329-1404
Entity
Organization

Contact information

Practice address
1201 13TH ST, ASHLAND, KY 41101-2607
(606) 329-1404
(606) 325-7446
Mailing address
1201 13TH ST, ASHLAND, KY 41101-2607
(606) 329-1404
(606) 325-7446

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
900379
KY

Other

Enumeration date
01/11/2007
Last updated
07/07/2011
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