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Individual
DR. TARA W GEIS
Active
Individual
DR. TARA W GEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34135
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5613010
—
SD
Enumeration date
08/31/2006
Last updated
03/17/2008
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