Healthcare Provider Details

I. General information

NPI: 1780687202
Provider Name (Legal Business Name): WILLIAM H. GEIGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/30/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 RAMONA DR
SAN LUIS OBISPO CA
93405-1556
US

IV. Provider business mailing address

138 RAMONA DR
SAN LUIS OBISPO CA
93405-1556
US

V. Phone/Fax

Practice location:
  • Phone: 805-543-1382
  • Fax:
Mailing address:
  • Phone: 805-543-1382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC020773
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: