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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GEOFFREY OWEN MCNICOLL, M.D.

Active

GEOFFREY OWEN MCNICOLL, M.D. is a Family Medicine healthcare provider located in PUYALLUP, Washington. NPI 1255438586 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PUYALLUP, WA

Registration Details

NPI Number
1255438586
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2006 (19.888979450624 yrs)
Last Updated
Mar 31, 2011
Licenses
EC081117 (ME)
MD60180279 (WA)

Practice Information

Address
15214 CANYON RD E
STE 100
PUYALLUP, WA, 983757472
Browse WA providers · Browse ZIP 98375
Phone
2535394200
Fax
2535396005
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in PUYALLUP, WA

Name Credential NPI
THOMAS N SHELTON D.O 1467457564
ROBERT M ALSTON M.D. 1679578512
PETER E LOGERFO MD, PLLC 1902801889
STEPHEN M. EGGE M.D. 1295731578
C. KEVIN BULLEY M.D. 1083611768
DR. ANNE E. KIRK MD 1912908427
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.