Individual
MICHAEL GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
167 NORTH MAIN STR., TUBA CITY, AZ 86045
(928) 283-2501
Mailing address
23 WASHINGTON ST, GLENVIEW, IL 60025-5023
(773) 875-0156
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN152205
AZ
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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