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Individual

GEOFFREY T COKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1100 SOUTHFIELD DR STE 1210, PLAINFIELD, IN 46168-4499
(317) 839-7741
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71004502A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201168310
IN
01
P01221089
RR MEDICARE PTAN
IN
Enumeration date
06/05/2013
Last updated
07/14/2025
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