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Individual
MR. GEORGE PATRICK CANTINI
Active
Individual
MR. GEORGE PATRICK CANTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2149
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3981220
EVERCARE GROUP #
AZ
01
—
453051001
GROUP HEALTH GRP #
AZ
05
—
462341
—
AZ
01
—
860373636
HUMANA GROUP #
AZ
01
—
AW1436
HEALTHNET GRP #
AZ
Enumeration date
11/02/2005
Last updated
08/31/2009
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