Individual
GEORGE GELLERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 AINSWORTH DR STE A, PRESCOTT, AZ 86301-1623
(928) 445-6025
(928) 777-2423
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(928) 759-5987
(928) 458-2039
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21918
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050054840
MEDICARE RAILROAD
—
05
—
164947
—
AZ
Enumeration date
01/30/2006
Last updated
09/11/2018
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