Individual
DR. GEORGE MATTHEW VAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 REID PKWY STE 205, RICHMOND, IN 47374-1159
(765) 935-8928
(765) 935-8929
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERIVCES, RICHMOND, IN 47374-1157
(765) 935-8802
(765) 983-3219
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
01044013A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200104510
—
IN
01
—
P01170536
RR MEDICARE PTAN
IN
Enumeration date
02/16/2008
Last updated
05/19/2021
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