Organization
GEORGE BIRKS MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE F BIRKS JR. M.D. (MD)
(719) 565-1900
Entity
Organization
Contact information
Practice address
1930 E ORMAN AVE, PUEBLO, CO 81004-3553
(719) 565-1900
(719) 565-1901
Mailing address
PO BOX 8537, PUEBLO, CO 81008-8537
(719) 566-1869
(719) 565-1901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35413
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110246700
RAILROAD MEDICARE
CO
05
—
82685029
—
CO
01
—
DG5436
RAILROAD MEDICARE
CO
Enumeration date
04/26/2006
Last updated
03/02/2010
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