Provider Demographics
NPI:1346246535
Name:JULIAN, GEOFFREY (MD)
Entity Type:Individual
Prefix:
First Name:GEOFFREY
Middle Name:
Last Name:JULIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1424 N. MCDONALD ROAD
Mailing Address - Street 2:STE 101
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-1088
Mailing Address - Country:US
Mailing Address - Phone:509-928-7272
Mailing Address - Fax:509-928-7346
Practice Address - Street 1:1424 N. MCDONALD ROAD
Practice Address - Street 2:STE 101
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-1088
Practice Address - Country:US
Practice Address - Phone:509-928-1287
Practice Address - Fax:509-928-7346
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00037183207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA139339OtherLABOR & INDUSTRIES
WA8240921Medicaid
WA8927758OtherCRIME VICTIMS
WA8927758OtherCRIME VICTIMS
WA139339OtherLABOR & INDUSTRIES
WA8240921Medicaid
WAAB14025Medicare PIN