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Individual

DR. DEEPU JOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
130 KATE IRELAND DRIVE, MARY BRECKINRIDGE HOSPITAL, HYDEN, KY 41749-1779
(606) 672-2341
Mailing address
PO BOX 782, HYDEN, KY 41749
(606) 672-4860

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42237
KY

Other

Enumeration date
12/11/2008
Last updated
08/18/2009
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