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Individual

P GEORGE JOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1911 N FAIRFIELD RD, STE 110A, BEAVERCREEK, OH 45432-2762
(937) 429-4826
(937) 429-4575
Mailing address
1911 N FAIRFIELD RD, STE 110A, BEAVERCREEK, OH 45432-2762
(937) 429-4826
(937) 429-4575

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-042936
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0388334
OH
Enumeration date
04/24/2006
Last updated
12/19/2013
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