Provider Demographics
NPI:1326243957
Name:GEORGE, ALLEN ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:ARTHUR
Last Name:GEORGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:APARTADO 206
Mailing Address - Street 2:
Mailing Address - City:ABANCAY
Mailing Address - State:APURIMAC
Mailing Address - Zip Code:0
Mailing Address - Country:PE
Mailing Address - Phone:011518-332-2469
Mailing Address - Fax:
Practice Address - Street 1:APARTADO 206
Practice Address - Street 2:
Practice Address - City:ABANCAY
Practice Address - State:APURIMAC
Practice Address - Zip Code:0
Practice Address - Country:PE
Practice Address - Phone:011518-332-2469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE20277207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine