Healthcare Provider Details

I. General information

NPI: 1477734937
Provider Name (Legal Business Name): MARYK MARTIN GEYER N.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2007
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17797 N PERIMETER DR STE 115
SCOTTSDALE AZ
85255-5455
US

IV. Provider business mailing address

17797 N PERIMETER DR STE 115
SCOTTSDALE AZ
85255-5455
US

V. Phone/Fax

Practice location:
  • Phone: 602-345-1605
  • Fax: 888-594-7274
Mailing address:
  • Phone: 602-345-1605
  • Fax: 888-594-7274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number07-983
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: