Provider Demographics
NPI:1114918075
Name:UNDERWOOD, GEORGE HEARD JR (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:HEARD
Last Name:UNDERWOOD
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1786 HALEKOA DR
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96821-1027
Mailing Address - Country:US
Mailing Address - Phone:808-735-2295
Mailing Address - Fax:808-735-2295
Practice Address - Street 1:1 JARRETT WHITE RD
Practice Address - Street 2:MCHK-IM, TRIPLER ARMY MEDICAL CENTER
Practice Address - City:TAMC
Practice Address - State:HI
Practice Address - Zip Code:96859-5001
Practice Address - Country:US
Practice Address - Phone:808-433-3585
Practice Address - Fax:808-433-2870
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
HI8797207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease