Individual
GEORGE JAMES COUNELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N. WIGET LANE, SUITE 160, WALNUT CREEK, CA 94598
(925) 280-8200
(925) 280-8201
Mailing address
100 N. WIGET LANE, SUITE 160, WALNUT CREEK, CA 94598
(925) 280-8200
(925) 280-8201
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A87807
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A878070
BLUE SHIELD OF CA
—
01
—
A87807
BLUE SHIELD OF CA
—
Enumeration date
08/31/2006
Last updated
08/06/2015
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