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Individual

GEORGI GREKOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
521 ADAMS AVE, MORTON, WA 98356-9323
(360) 496-5112
Mailing address
PO BOX 13579, READING, PA 19612-3579

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD61184051
WA
207Q00000X
Family Medicine Physician
MT209654
PA

Other

Enumeration date
06/12/2015
Last updated
06/05/2026
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