Doctor Name: | DR. GEORGE BARYON HIGHTOWER |
NPI Number: | 1063797827 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A48661 |
Business Practice Address: | 310 Airport Rd Ste 2000 Williston, ND - 588012946 |
Business Phone Number: | 7017743541 |
Business Fax Number: | 7017743543 |
Mailing Address: | 310 Airport Rd Ste 2000, WILLISTON |
State: | ND |
Postal Code: | 588012946 |
Phone Number: | 7017743541 |
Fax Number: | 7017743543 |
NPI Enumeration Date: | 10/12/2011 |
NPI Last Update Date: | 12/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A48661 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |