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Individual

ANTHONY JOHN STUGAN

Active
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Individual

ANTHONY JOHN STUGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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
Update your record

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