Individual
DR. JONATHAN MATHEW GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1475 KISKER RD STE 260, SAINT CHARLES, MO 63304-8788
(860) 818-1039
(636) 928-4497
Mailing address
5104 FOUNTAINVIEW CIR, SAINT CHARLES, MO 63303-3387
(860) 818-1039
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2020016128
MO
Other
Enumeration date
04/29/2017
Last updated
09/01/2020
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