Garcia, George M

Garcia, George M is an individual health care provider with primary practice located at 2985 Cortez Ave , Idaho Falls ID 83404. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Garcia, George M can be contacted via phone (208) 523-3373.

Contact Information

Primary practice address
2985 Cortez Ave Idaho Falls ID 83404
Phone: (208) 523-3373
Fax: (208) 523-8746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 23654 Arizona
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 23654 Arizona
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 23654 Arizona

Profile Details

NPI number 1548266315
LBN Legal business name Garcia, George M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Nov 20th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548266315 NPPES
Arizona Other P00958353 RR MEDICARE
Arizona MEDICAID 357584 RR MEDICARE

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