Provider Demographics
NPI:1609089549
Name:RICHARD C GEARY JR
Entity Type:Organization
Organization Name:RICHARD C GEARY JR
Other - Org Name:DERMATOLOGY ASSOCIATES OF WHEELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:GEARY
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:304-232-4266
Mailing Address - Street 1:1038 MARKET ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-2912
Mailing Address - Country:US
Mailing Address - Phone:304-232-4266
Mailing Address - Fax:304-233-0132
Practice Address - Street 1:1038 MARKET ST
Practice Address - Street 2:SUITE 1
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-2912
Practice Address - Country:US
Practice Address - Phone:304-232-4266
Practice Address - Fax:304-233-0132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty