Individual
GEOFFREY ERIC GIDEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2000 W BETHANY HOME RD, PHOENIX, AZ 85015-2443
(602) 246-5521
Mailing address
20000 N 57TH AVE RM E109, GLENDALE, AZ 85308-6800
(949) 690-8754
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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