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Individual

DALE WAYNE GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4603
(719) 526-7088
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4603
(719) 526-7088

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01056646A
IN
207L00000X
Anesthesiology Physician
46830
CO

Other

Enumeration date
06/23/2006
Last updated
08/22/2008
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