Individual
GEOFFREY SIROCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
401 MATTHEW ST, EMERGENCY DEPARTMENT, MARIETTA, OH 45750-1635
(740) 568-5669
(740) 568-5279
Mailing address
401 MATTHEW ST, EMERGENCY DEPARTMENT, MARIETTA, OH 45750-1635
(740) 568-5669
(740) 568-5279
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.012083
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163443
—
OH
Enumeration date
05/20/2013
Last updated
02/15/2017
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