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NPI Code Detail

MEDICARE: GLENN K GEETING MD

MEDICARE: GLENN K GEETING MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician30163WV
2207P00000XEmergency Medicine PhysicianMD072301LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245298231
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLENN K GEETING MD
Provider Business Mailing Address
First Line : PO BOX 854
Second Line : MC A410
City : HERSHEY
State : PA
Zip : 17033-0854
Country : US
Telephone Number : 800-233-4082
Fax Number :
Provider Business Practice Location Address
First Line : 117 HOSPITAL DR
Second Line :
City : PETERSBURG
State : WV
Zip : 26847-9566
Country : US
Telephone Number : 304-257-1026
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 01/15/2021

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