Individual
JOHN LIGUSH JR.
Active
Individual
JOHN LIGUSH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
0101233862
VA
208600000X
Surgery Physician
0101233862
VA
2086S0129X
Vascular Surgery Physician
Primary
0101233862
VA
Other
Enumeration date
02/08/2006
Last updated
01/03/2019
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