IVAN ALEXANDER ESCUDERO

LEITCHFIELD, KY
NPI1427679935
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: KY  57355)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-05-06
Last Update Date2024-04-30
Business Address
Dr. IVAN ALEXANDER ESCUDERO MD
912 WALLACE AVE STE 102
LEITCHFIELD, KY 42754-2405
Phone number: 270-259-8888
Mailing Address
Dr. IVAN ALEXANDER ESCUDERO MD
PO BOX 23229
OWENSBORO, KY 42304-3229
Phone number: 270-688-1330