Provider Demographics
NPI:1003175696
Name:GEIST, CANDICE JESSICA (DO)
Entity type:Individual
Prefix:DR
First Name:CANDICE
Middle Name:JESSICA
Last Name:GEIST
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CANDICE
Other - Middle Name:JESSICA
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9403 CROWN CREST BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8991
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9403 CROWN CREST BLVD STE 200PINN
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8882
Practice Address - Country:US
Practice Address - Phone:303-840-8780
Practice Address - Fax:303-840-8795
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-16
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0056657207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology