Provider Demographics
NPI:1477734937
Name:GEYER, MARYK MARTIN (NMD)
Entity Type:Individual
Prefix:DR
First Name:MARYK
Middle Name:MARTIN
Last Name:GEYER
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17797 N PERIMETER DR STE 115
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5455
Mailing Address - Country:US
Mailing Address - Phone:602-345-1605
Mailing Address - Fax:888-594-7274
Practice Address - Street 1:17797 N PERIMETER DR STE 115
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-5455
Practice Address - Country:US
Practice Address - Phone:602-345-1605
Practice Address - Fax:888-594-7274
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ07-983175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath