Individual
CHARISSA LATEESHA GEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429
(937) 384-6800
(937) 384-6938
Mailing address
2200 PHILADELPHIA DR, # 441, DAYTON, OH 45406-1840
(937) 384-6800
(937) 384-6938
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35127485
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2013
Last updated
05/22/2018
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