Individual
RICHARD L GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11141 PARKVIEW PLAZA DR STE 305, FORT WAYNE, IN 46845-1715
(260) 266-8900
(260) 266-8935
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
22388
AL
2086S0102X
Surgical Critical Care Physician
Primary
01094175A
IN
2086S0102X
Surgical Critical Care Physician
35.094071
OH
Other
Enumeration date
06/16/2006
Last updated
09/03/2024
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