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Individual

DR. GEOFFREY GILES SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
419 S WASHINGTON ST, SUITE 101, CASPER, WY 82601-2951
(307) 265-1620
(307) 237-1074
Mailing address
419 S WASHINGTON ST, SUITE 101, CASPER, WY 82601-2951
(307) 265-1620
(307) 237-1074

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4693A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100985100
WY
01
360002327
RAILROAD MEDICARE
WY
Enumeration date
03/08/2006
Last updated
09/11/2013
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