Provider Demographics
NPI:1588932982
Name:ROBERT C. GEIGER, M. D., PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:ROBERT C. GEIGER, M. D., PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:GEIGER
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:707-996-7077
Mailing Address - Street 1:181 ANDRIEUX ST STE 106
Mailing Address - Street 2:
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-6920
Mailing Address - Country:US
Mailing Address - Phone:707-996-7077
Mailing Address - Fax:707-996-3723
Practice Address - Street 1:181 ANDRIEUX ST STE 106
Practice Address - Street 2:
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-6920
Practice Address - Country:US
Practice Address - Phone:707-996-7077
Practice Address - Fax:707-996-3723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA17117261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty