Individual
DR. EDIBERTO DEJESUS GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7351
(270) 825-6630
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5733
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
0101240450
VA
208D00000X
General Practice Physician
Primary
TP652
KY
Other
Enumeration date
11/13/2006
Last updated
01/17/2015
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