Provider Demographics
NPI:1194776948
Name:RICE, GEOFFREY L (MD)
Entity type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:L
Last Name:RICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:248 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:UKIAH
Mailing Address - State:CA
Mailing Address - Zip Code:95482-4555
Mailing Address - Country:US
Mailing Address - Phone:707-462-2924
Mailing Address - Fax:707-462-1634
Practice Address - Street 1:248 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-4555
Practice Address - Country:US
Practice Address - Phone:707-462-2924
Practice Address - Fax:707-462-1634
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG54691207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology