Organization
SENIOR DOC IDAHO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GEISS (OWNER/DOCTOR)
(855) 434-7763
Entity
Organization
Contact information
Practice address
4301 GARRITY BLVD STE 103, NAMPA, ID 83687-9222
(855) 434-7763
(949) 281-5550
Mailing address
5 HUTTON CENTRE DR STE 950, SANTA ANA, CA 92707-8714
(558) 434-7763
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
01/13/2025
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