NPI | 1033128335 |
---|---|
Former Legal Business Name | JUNE M. GEORGE, MD, PC |
Entity Type | Organization |
Authorized Contact | JUNE M. GEORGE Owner 907-222-1401 |
Organization Subpart ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: AK 4148) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AK 450) |
363LF0000X Nurse Practitioner, Family (Licence: AK 838) | |
Enumeration Date | 2006-08-05 |
Last Update Date | 2010-11-09 |