Provider Demographics
NPI:1609273275
Name:GEORGE, JEFFREY (MS)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:GEORGE
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 E 131ST CT
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80241-1714
Mailing Address - Country:US
Mailing Address - Phone:303-912-7926
Mailing Address - Fax:
Practice Address - Street 1:502 E 131ST CT
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80241-1714
Practice Address - Country:US
Practice Address - Phone:303-912-7926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-26
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor