Individual provider · Type 1 NPI

Geoffrey Eric Gideon, DO

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1215686019 Active

Practice location

2000 W Bethany Home Rd
Phoenix, AZ 85015-2443

Call (602) 246-5521 Map

Mailing address

20000 N 57th Ave Rm E109
Glendale, AZ 85308-6800

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215686019

Geoffrey Eric Gideon, DO's National Provider Identifier is 1215686019, issued on Mar 21, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 21, 2022.