Individual
GEOFFREY DIGIACINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9100 W 74TH ST, MERRIAM, KS 66204-4004
(913) 676-2000
Mailing address
26281 W 110TH ST, OLATHE, KS 66061-8410
(913) 378-7992
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
05-46084
KS
207P00000X
Emergency Medicine Physician
5151013600
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2019
Last updated
06/14/2022
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