NPI 1013948694

Jeremy Clifton Cuzzourt, MD

Practitioner Otolaryngology Physician Proctorville, OH

Practice location

Address: 98 State St, Proctorville, OH 45669-8163
Phone: (855) 446-5937
Fax: (740) 886-9374
Mailing address: 90 Jackson Pike, Gallipolis, OH 45631-1560

Registered specialties (3)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 35.125222 (OH)

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Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 46380 (TN)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207YX0007X Licence 22299 (WV)

Registry record

NPI: 1013948694
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2006
Record last updated: 21 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.