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Individual

GEORGE K CYRIAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
620 E MONROE ST, MEXICO, MO 65265-2919
(573) 581-5850
(573) 581-8185
Mailing address
201 E MONROE ST, SUITE 202, MEXICO, MO 65265-2852
(573) 581-5850
(573) 581-8185

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R3A41
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202861704
MO
01
300039964
MEDICARE RAILROAD
MO
Enumeration date
10/13/2005
Last updated
01/16/2012
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