Individual
JACK GEOULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M,D.
Contact information
Practice address
2700 DOLBEER ST, ST JOSEPH HOSPITAL - EUREKA, EUREKA, CA 95501-4736
(707) 845-8121
Mailing address
8300 WYOMING BLVD NE, ALBUQUERQUE, NM 87113-1997
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A94898
CA
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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