Individual
DR. GEORGE ROBERT JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6400 DUTCHMANS PKWY, STE 220 A, LOUISVILLE, KY 40205-3340
(502) 894-9757
(502) 894-9257
Mailing address
6400 DUTCHMANS PKWY STE 220A, LOUISVILLE, KY 40205-3343
(502) 894-9757
(502) 894-9257
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01044404
IN
207W00000X
Ophthalmology Physician
Primary
29119
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003129D
—
IN
05
—
64291198
—
KY
Enumeration date
09/20/2005
Last updated
07/08/2007
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