Organization
PHILLIP MAROUDIS, O.D., P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP MAROUDIS O.D. (PRESIDENT)
(606) 329-1404
Entity
Organization
Contact information
Practice address
1201 13TH ST, ASHLAND, KY 41101-2607
(606) 329-1404
(606) 325-7446
Mailing address
1201 13TH ST, ASHLAND, KY 41101-2607
(606) 329-1404
(606) 325-7446
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
703DT
KY
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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