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Individual

GEORGE T RALPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 ST RT 664 BOX 966, LOGAN, OH 43138-8541
(740) 380-8000
(740) 380-2932
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4304

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35033609R
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000315929
HOCKING BCBS
05
0232699
OH
Enumeration date
06/12/2006
Last updated
05/29/2008
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