Individual
DR. GEOFFREY DAVID DIEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1825 W EMELITA AVE STE 449, MESA, AZ 85202-4034
(480) 933-5065
Mailing address
4145 NORTH GLOUCESTER PLACE, ATLANTA, GA 30341-1249
(404) 992-6229
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
PT005701
GA
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT005701
STATE LIC
GA
Enumeration date
09/25/2006
Last updated
03/27/2025
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