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Individual

EMILIO PUNZAL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-4000
(606) 408-6625
Mailing address
1000 ST CHRISTOPHER, ASHLAND, KY 41101
(606) 833-3333

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37456
KY
208M00000X
Hospitalist Physician
37456
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000478439
ANTHEM BCBS
KY
01
000000577949
ANTHEM BCBS
KY
05
64056716
KY
Enumeration date
06/23/2006
Last updated
08/12/2020
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