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Individual

HEATHER K GEIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1625 GREENBRIAR PL, #300, OKLAHOMA CITY, OK 73159-7645
(405) 692-4000
(405) 692-4001
Mailing address
2816 NW 57TH ST, 104, OKLAHOMA CITY, OK 73112-7045
(405) 848-7882
(405) 848-7818

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
15710
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100107830A
OK
Enumeration date
09/02/2005
Last updated
09/19/2023
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