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Individual

DR. GEORGE ROBERT KNULL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1936 E ANAHEIM ST, LONG BEACH, CA 90813-3908
(714) 309-4688
Mailing address
PO BOX 60040, ARCADIA, CA 91066-6040
(626) 447-0296
(626) 447-6005

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G34669
CA
207R00000X
Internal Medicine Physician
AK7580699
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G346690
CA
Enumeration date
07/11/2006
Last updated
04/28/2017
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