Organization
GEORGE R. HANCOCK M.D., INC
Active
Organization
GEORGE R. HANCOCK M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE R HANCOCK M.D. (PRESIDENT)
(760) 352-6766
Entity
Organization
Contact information
Practice address
790 W ORANGE AVE, SUITE C, EL CENTRO, CA 92243-3274
(760) 352-6766
(760) 353-8105
Mailing address
17853 SANTIAGO BLVD, #107 PMB 104, VILLA PARK, CA 92861-4113
(760) 352-6766
(760) 353-8105
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A32642
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A326421
—
CA
Enumeration date
09/18/2007
Last updated
04/01/2008
Update your record
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