Individual
DR. JESUS PRESTO QUERUBIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 US 23, GREENUP, KY 41144-1074
(606) 473-1501
(606) 473-1503
Mailing address
PO BOX 828, GREENUP, KY 41144-1074
(606) 473-1501
(606) 473-1503
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33412
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2017990
—
OH
05
—
64332141
—
KY
01
—
P00060046
RR MEDICARE
—
Enumeration date
10/12/2006
Last updated
02/10/2015
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