Individual
GEOFFREY SCOTT STREETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1675 E MELROSE ST STE 101-103, GILBERT, AZ 85297-1001
(480) 964-2908
(480) 833-2136
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4594
AZ
363AS0400X
Surgical Physician Assistant
4594
AZ
Other
Enumeration date
06/23/2010
Last updated
10/12/2022
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