Individual
DONALD L GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 POINT FOSDICK DR NW, STE 203-A, GIG HARBOR, WA 98335-1706
(253) 857-1120
(253) 857-1121
Mailing address
4700 POINT FOSDICK DR NW, STE 203-A, GIG HARBOR, WA 98335-1706
(253) 857-1120
(253) 857-1121
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00024466
WA
208600000X
Surgery Physician
Primary
MD00024466
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01326
L&I
WA
01
—
020007512
RAILROAD MEDICARE
WA
01
—
0248294
STATE L&I
WA
01
—
0248300
STATE L&I
WA
01
—
0257524
STATE L&I
WA
05
—
1029941
—
WA
Enumeration date
06/02/2006
Last updated
11/18/2011
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