Healthcare Provider Details

I. General information

NPI: 1942208608
Provider Name (Legal Business Name): GEOFFREY DOUGLAS BLOCK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4407 N SABINO MOUNTAIN DR
TUCSON AZ
85750-6927
US

IV. Provider business mailing address

4407 N SABINO MOUNTAIN DR
TUCSON AZ
85750-6927
US

V. Phone/Fax

Practice location:
  • Phone: 412-967-9450
  • Fax:
Mailing address:
  • Phone: 412-967-9450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RT0003X
TaxonomyTransplant Hepatology Physician
License NumberG131448
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number57637
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code207RT0003X
TaxonomyTransplant Hepatology Physician
License Number57637
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number131448
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License Number57637
License Number StateAZ
# 6
Primary TaxonomyN
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License NumberG131448
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: