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Individual

GEOFFREY M. GREENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
111 UNIVERSITY PKWY, SUITE 100, YAKIMA, WA 98901-1471
(509) 452-5378
(509) 577-7096
Mailing address
111 UNIVERSITY PKWY, SUITE 100, YAKIMA, WA 98901-1471
(509) 452-5378
(509) 577-7096

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD17581
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD17581
WA
207RP1001X
Pulmonary Disease Physician
MD17581
WA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD17581
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1001841
WA
01
61031
LABOR AND INDUSTRY
WA
Enumeration date
09/23/2006
Last updated
02/19/2011
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