Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD00030654 | WA |
NPI | 1083715072 |
---|---|
Provider Name | James Michael Geier |
First Address | Everett, WA 98201-1409 |
Second Address | Everett, WA 98201-1684 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 25/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1087618 | (05) | WA |
D09158 | (02) | WA |