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Individual

GEOFFREY D STILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
805 W 5TH AVE STE 619, SPOKANE, WA 99204-2802
(509) 747-5773
(509) 960-4063
Mailing address
805 W 5TH AVE STE 619, SPOKANE, WA 99204-2802
(509) 747-5773
(509) 960-4063

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
M8333
ID
174400000X
Specialist
MD00044186
WA
208600000X
Surgery Physician
M8333
ID
208600000X
Surgery Physician
Primary
MD00044186
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2128848
WA
05
807010600
ID
Enumeration date
06/15/2006
Last updated
09/11/2020
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