Basic Information
Provider Information
NPI: 1447296017
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILLS
FirstName: GEOFFREY
MiddleName: L.
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8553 URBANDALE AVE
Address2:  
City: URBANDALE
State: IA
PostalCode: 503224108
CountryCode: US
TelephoneNumber: 5152744006
FaxNumber: 5152555697
Practice Location
Address1: 800 E 28TH ST
Address2: ALLINA MENTAL HEALTH CLINIC, WASIE BLDG, 6TH FL
City: MINNEAPOLIS
State: MN
PostalCode: 55407
CountryCode: US
TelephoneNumber: 6128635327
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/21/2006
LastUpdateDate: 09/05/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X51888-21WIY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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