Individual
JEFFREY J ROCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5782 ADAMS AVENUE PARKWAY, WASHINGTON TERRACE, UT 84405
(801) 917-8000
(801) 917-8001
Mailing address
5782 ADAMS AVE PKWY, OGDEN, UT 84405-6947
(801) 917-8020
(801) 917-8001
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
60233511205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000055872
MEDICARE PART B
—
01
—
005587209
MEDICARE PART B
—
01
—
60233511200001
HEALTHWISE
—
01
—
86192
PUBLIC EMPLOYEES
—
05
—
870680455011
—
UT
05
—
D6480
—
UT
01
—
H65675
PUBLIC EMPLOYEES
—
Enumeration date
02/06/2006
Last updated
09/12/2022
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