Provider Demographics
NPI:1891711529
Name:GEILER, CRAIG R (MD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:R
Last Name:GEILER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:900 CASS STREET
Mailing Address - Street 2:STE 101
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940
Mailing Address - Country:US
Mailing Address - Phone:831-242-0110
Mailing Address - Fax:831-242-0150
Practice Address - Street 1:900 CASS STREET
Practice Address - Street 2:STE 101
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940
Practice Address - Country:US
Practice Address - Phone:831-242-0110
Practice Address - Fax:831-242-0150
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA70140207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH28246Medicare UPIN
CA00A701400Medicare ID - Type UnspecifiedMEDICARE NUMBER