Individual
GEOFFREY SCOTT MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 363-3926
(330) 363-5380
Mailing address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 363-3926
(330) 363-5380
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35048906
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000226292
ANTHEM
OH
05
—
0567195
—
OH
Enumeration date
02/27/2006
Last updated
11/05/2008
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