Individual
ANTHONY JOHN STUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 HOSPITAL WAY, SUITE 100, SOMERSET, KY 42503-2872
(606) 451-2629
(606) 451-2641
Mailing address
350 HOSPITAL WAY, SOMERSET, KY 42503-2872
(606) 451-2628
(606) 451-2630
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34567
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054063
ANTHEM
—
05
—
64345671
—
KY
Enumeration date
07/26/2006
Last updated
03/26/2024
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