Individual
JACKSON GEORGE UNTERINER
Active
Individual
JACKSON GEORGE UNTERINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2020011736
MO
2085R0202X
Diagnostic Radiology Physician
Primary
60448
KY
2085R0204X
Vascular & Interventional Radiology Physician
60448
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300110382
—
IN
05
—
7101050170
—
KY
Enumeration date
04/09/2019
Last updated
09/29/2025
Update your record
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