Individual
GEOFFREY IAN CRIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4647 ZION AVE, RADIOLOGY DEPARTMENT, SAN DIEGO, CA 92120-2507
(619) 528-6087
Mailing address
4647 ZION AVE, RADIOLOGY DEPARTMENT, SAN DIEGO, CA 92120-2507
(619) 528-6087
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
34830
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
A78008
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039974
—
AZ
Enumeration date
05/12/2006
Last updated
12/03/2021
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