Individual
DR. GEOFFREY G MOUNTVARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2041 GEORGIA AVE NW, EMERGENCY DEPT ADMIN OFFICE, WASHINGTON, DC 20060-0001
(202) 865-1121
Mailing address
12710 WOODBRIDGE CT, MITCHELLVILLE, MD 20721-4243
(202) 865-1121
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0054648
MD
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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