Individual
RITA M GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14537 W INDIAN SCHOOL RD, 700, GOODYEAR, AZ 85395-9243
(623) 935-0247
(623) 935-2209
Mailing address
14537 W INDIAN SCHOOL RD, 700, GOODYEAR, AZ 85395-9243
(623) 935-0247
(623) 935-2209
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
28297
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070014697
RAILROAD MEDICARE
AZ
01
—
1083662662
BLUE CROSS BLUE SHIELD
AZ
01
—
1467402933
PRACTICE NPI
AZ
01
—
188961600
DEPT OF LABOR WORK COMP
AZ
01
—
2042275
UNITED HEALTHCARE
AZ
01
—
4Z2978
HEALTH NET
AZ
01
—
7658125
AETNA
AZ
01
—
948482
AHCCCS
AZ
05
—
948482
—
AZ
01
—
99S007000001
MEDISUN
AZ
Enumeration date
05/05/2006
Last updated
01/26/2016
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