Provider Demographics
NPI:1336673102
Name:GEIER, ROBERT RANDAL
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:RANDAL
Last Name:GEIER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 DOWELL SPRINGS BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-2444
Mailing Address - Country:US
Mailing Address - Phone:865-637-8812
Mailing Address - Fax:
Practice Address - Street 1:1450 DOWELL SPRINGS BLVD STE 300
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-2444
Practice Address - Country:US
Practice Address - Phone:656-378-8128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-18
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4716207RE0101X
KY54009207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism