Individual
DR. GEORGE STEPHEN DURISEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
629D LOWTHER RD, LEWISBERRY, PA 17339-9527
(717) 932-5200
(717) 932-3095
Mailing address
629D LOWTHER RD, LEWISBERRY, PA 17339-9527
(717) 932-5200
(717) 932-3095
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD014909E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000655100
—
PA
Enumeration date
09/23/2005
Last updated
01/17/2012
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