Individual
DR. GEORGE N FOTIADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
827 S JACKSON ST, OSCEOLA, IA 50213-1666
(641) 342-2128
(641) 342-3179
Mailing address
827 S JACKSON ST, OSCEOLA, IA 50213-1666
(641) 342-2128
(641) 342-3179
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24337
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080063418
RR MEDICARE
IA
05
—
1024422
—
IA
05
—
1881691517
—
IA
Enumeration date
07/07/2005
Last updated
05/17/2012
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