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Individual

SARGINE BRUTUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1530 LONE OAK RD, PADUCAH, KY 42003-7901
(271) 444-2444
Mailing address
11843 235TH ST, CAMBRIA HEIGHTS, NY 11411-2319
(917) 324-1781

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
233943
NY
207P00000X
Emergency Medicine Physician
Primary
60591
KY
207P00000X
Emergency Medicine Physician
D0063128
MD
207P00000X
Emergency Medicine Physician
ME111878
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
451601000
MD
Enumeration date
06/13/2006
Last updated
03/26/2025
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