DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GEORGE ALLEN WADDELL JR., M.D.

Active

GEORGE ALLEN WADDELL JR., M.D. is a 2083A0100X healthcare provider located in PETERSON AFB, Colorado. NPI 1215991476 is currently active in the NPPES registry. Verify at CMS.

2083A0100X · PETERSON AFB, CO

Registration Details

NPI Number
1215991476
Provider Type
Individual
Gender
Male
NPI Issued
Apr 14, 2006 (20.152391488397 yrs)
Last Updated
Mar 25, 2011
Licenses
07731 (MS)
07731 (MS)

Practice Information

Address
559 VINCENT ST
ATTN: 21 AMDS/SGPF - AEROSP MED
PETERSON AFB, CO, 809141540
Browse CO providers · Browse ZIP 80914
Phone
7195561260
Fax
8668677926
Primary Specialty
2083A0100X
2083A0100X
Additional Specialty
2083A0100X

Other 2083A0100X Providers in PETERSON AFB, CO

Name Credential NPI
DR. JOHN SCOTT BROOKS M.D., MPH 1770550584
DR. BRIAN AGEE MD MPH 1669441036
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.