Individual
DR. CONSTANTINE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6252 S RAINBOW BLVD, SUITE 110, LAS VEGAS, NV 89118-3248
(702) 253-5410
(702) 433-5410
Mailing address
PO BOX 82227, LAS VEGAS, NV 89180-2227
(702) 253-5410
(702) 433-5410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11122
NV
208000000X
Pediatrics Physician
11122
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506950
—
NV
05
—
100508862
—
NV
Enumeration date
07/07/2005
Last updated
09/03/2010
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