Provider Demographics
NPI:1417921859
Name:GEIMER, PAUL CHARLES (DO)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:CHARLES
Last Name:GEIMER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2700 N 3RD STREET
Mailing Address - Street 2:SUITE # 2005
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004
Mailing Address - Country:US
Mailing Address - Phone:602-254-6515
Mailing Address - Fax:602-254-7971
Practice Address - Street 1:2700 N 3RD ST
Practice Address - Street 2:SUITE # 2005
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1129
Practice Address - Country:US
Practice Address - Phone:602-254-6515
Practice Address - Fax:602-254-7971
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2011-05-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ1509208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZC99022Medicare UPIN