Individual
DR. GERALDINE ANN JAVIER SOMERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-0000
(541) 267-5151
(541) 266-4577
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-0000
(541) 267-5151
(541) 266-4577
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD26363
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-572-799-5
ECFMG#
—
05
—
027895
—
OR
01
—
1407812365
NBMC GROUP NPI NUMBER
OR
01
—
CB3544
RR MEDICARE GROUP PIN
OR
01
—
P00302238
RR MEDICARE PTAN NUMBER
OR
01
—
R0000WFBTV
GROUP MEDICARE PIN NUMBER
OR
Enumeration date
12/20/2005
Last updated
02/27/2012
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