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Organization
SENIOR DOC UTAH PC
Active
Organization
SENIOR DOC UTAH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARK GEISS DO (CEO)
(855) 434-7763
Entity
Organization
Contact information
Practice address
5 HUTTON CENTRE DR STE 950, SANTA ANA, CA 92707-8744
(855) 434-7763
(949) 281-5550
Mailing address
5 HUTTON CENTRE DR STE 950, SANTA ANA, CA 92707-8744
(855) 434-7763
(949) 281-5550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
02/03/2026
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