Individual
DR. GEOFFREY DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1707 W CHARLESTON BLVD STE 160, LAS VEGAS, NV 89102-2354
(701) 671-5150
(702) 384-6493
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
(702) 218-0915
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
63460
WI
208600000X
Surgery Physician
A101528
CA
208600000X
Surgery Physician
MD.32676
AL
2086S0102X
Surgical Critical Care Physician
16532
NV
2086S0102X
Surgical Critical Care Physician
63460
WI
2086S0127X
Trauma Surgery Physician
Primary
ME127855
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113025700
—
FL
Enumeration date
05/15/2007
Last updated
02/04/2022
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