# JEFFREY J ROCCO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306818190
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 60233511205 | UT | Yes |

## Other

- **Enumeration date:** 02/06/2006
- **Last updated:** 09/12/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000055872 | MEDICARE PART B | — |
| 01 | — | 005587209 | MEDICARE PART B | — |
| 01 | — | 60233511200001 | FED BCBS | — |
| 01 | — | 86192 | PUBLIC EMPLOYEES | — |
| 05 | — | 870680455011 | — | UT |
| 05 | — | D6480 | — | UT |
| 01 | — | H65675 | PUBLIC EMPLOYEES | — |