Provider Demographics
NPI:1336497734
Name:GEIGER, CHARLES M
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:M
Last Name:GEIGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EODMU 8 N9
Mailing Address - Street 2:UNIT 60531
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09501
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:NAVL HOSPITAL ROTA PSC 819
Practice Address - Street 2:BOX 18
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09645
Practice Address - Country:US
Practice Address - Phone:314-727-1923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman