Individual
GEORGE J DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-1818
(502) 587-4203
(502) 587-4155
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 587-4203
(502) 587-4155
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
38434
KY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
38434
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200474430A
—
IN
Enumeration date
05/12/2006
Last updated
11/24/2010
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