Individual
DR. GEORGE SHAYNE TOLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1111 W SPRUCE ST, STE 22, YAKIMA, WA 98902-3257
(509) 248-6414
(509) 902-1099
Mailing address
1111 W SPRUCE ST, STE 22, YAKIMA, WA 98902-3257
(509) 248-6414
(509) 902-1099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00001397
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1119254
—
WA
Enumeration date
03/14/2006
Last updated
12/01/2016
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