Provider Demographics
NPI:1770673238
Name:PITZER, GEOFFREY BARRETT (MD)
Entity Type:Individual
Prefix:
First Name:GEOFFREY
Middle Name:BARRETT
Last Name:PITZER
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:5565 GROSSMONT CENTER DRIVE
Mailing Address - Street 2:BUILDING 3, SUITE 101
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942
Mailing Address - Country:US
Mailing Address - Phone:619-464-3353
Mailing Address - Fax:619-464-6720
Practice Address - Street 1:5565 GROSSMONT CENTER DRIVE
Practice Address - Street 2:BUILDING 3 SUITE 101
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:29425-0001
Practice Address - Country:US
Practice Address - Phone:843-792-1414
Practice Address - Fax:619-464-3353
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2024-01-29
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Provider Licenses
StateLicense IDTaxonomies
CAA125888207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology