Provider Demographics
NPI:1811310063
Name:MERHOFF, GEORGE CRAIG SR
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:CRAIG
Last Name:MERHOFF
Suffix:SR
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:G
Other - Middle Name:CRAIG
Other - Last Name:MERHOFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, FACS
Mailing Address - Street 1:6090 SUNSET RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-9386
Mailing Address - Country:US
Mailing Address - Phone:541-883-3059
Mailing Address - Fax:
Practice Address - Street 1:6090 SUNSET RIDGE RD
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-9386
Practice Address - Country:US
Practice Address - Phone:541-883-3059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-23
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD09384208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery