Individual
GEOFFREY M VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 W CENTRAL AVE, EL DORADO, KS 67042-2112
(316) 321-3300
Mailing address
610 PRAIRIE RD, EL DORADO, KS 67042-4030
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
04-30880
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105276
BC/BS OF KANSAS
KS
05
—
200270790B
—
KS
Enumeration date
07/18/2006
Last updated
07/08/2007
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