Individual
GEORGE M GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2985 CORTEZ AVE, IDAHO FALLS, ID 83404
(208) 523-3373
(208) 523-8746
Mailing address
2985 CORTEZ AVE, IDAHO FALLS, ID 83404
(208) 523-3373
(208) 523-8746
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
23654
AZ
207RC0000X
Cardiovascular Disease Physician
Primary
23654
AZ
207RI0011X
Interventional Cardiology Physician
23654
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357584
—
AZ
01
—
P00958353
RR MEDICARE
AZ
Enumeration date
06/24/2005
Last updated
11/20/2015
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