Individual
DR. SANTOSH GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2521 GLENN HENDREN DR, SUITE 204, LIBERTY, MO 64068-3388
(816) 781-6066
(816) 792-5130
Mailing address
2609 GLENN HENDREN DR, LIBERTY, MO 64068-3313
(816) 407-4555
(816) 407-2362
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2002010575
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0388010001
DMERC
MO
05
—
205864507
—
MO
01
—
475B755
MEDICARE PTAN
MO
Enumeration date
10/05/2005
Last updated
09/13/2018
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