George R Kiracofe M.D.

NPI 1033137443 - Family Medicine - 207Q00000X

NPI Details
NPI 1033137443
Gender Male
Enumeration Date 07/17/2006
Last Updated 05/26/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
I-40, EXIT 102
ACOMA NM, 87034, US
Phone (505) 552-5300
Fax (505) 552-5828
Business Location
PO BOX 130
SAN FIDEL NM, 87049-0130, US
Phone (505) 552-5300
Fax (505) 552-5828
Taxonomy Code 207Q00000X
License State Alabama
License Number 22645
Remove 1033137443 NPI Number

According to our database, Dr. George R Kiracofe M.D. NPI is 1033137443, taxonomy code is 207Q00000X and license number is 22645, license state is located at Alabama. George R Kiracofe M.D. physically located at 80 B Veterans Blvd, Acoma NM, 87034. NPI Number George R Kiracofe M.D. has the Individual type.

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1033137443 NPI number is provided on an as is basis without warranty of any kind. 1033137443 is maintained by the National Plan & Provider Enumeration System. The contents of George R Kiracofe M.D. are for informational purposes only.