Individual
DR. GEORGE MICHAEL DOCKENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2200 BERGQUIST DR STE 1, LACKLAND A F B, TX 78236-9908
(210) 262-7626
Mailing address
14839 WYOMING PASS, SAN ANTONIO, TX 78254-1875
(210) 668-2981
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34-007519
OH
2083A0100X
Aerospace Medicine Physician
34.007519
OH
Other
Enumeration date
06/20/2006
Last updated
05/23/2019
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