Individual
MR. GEORGE PATRICK CANTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-5501
Mailing address
2000 SPRING RD, SUITE 200, OAK BROOK, IL 60523-1804
(630) 472-8800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2149
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3981220
EVERCARE GROUP #
AZ
01
—
453051001
GROUP HEALTH GRP #
AZ
05
—
462341
—
AZ
01
—
860373636
HUMANA GROUP #
AZ
01
—
AW1436
HEALTHNET GRP #
AZ
Enumeration date
11/02/2005
Last updated
08/31/2009
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