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NPI Code Detail

MEDICARE: GEORGE E SCORDALAKES MD

MEDICARE: GEORGE E SCORDALAKES MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician0101045312VA

General Provider Information

NPI Number : 1275512378
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE E SCORDALAKES MD
Provider Business Mailing Address
First Line : 214 14TH AVE SW
Second Line :
City : SIDNEY
State : MT
Zip : 59270-3521
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 214 14TH AVE SW
Second Line :
City : SIDNEY
State : MT
Zip : 59270-3521
Country : US
Telephone Number : 757-874-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 11/13/2020

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Directions to “ GEORGE E SCORDALAKES MD” Practice Location

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