Individual
GEOFFREY CHARLES JIRANEK
Active
Individual
GEOFFREY CHARLES JIRANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00024350
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039580
LABOR & INDUSTRY
WA
01
—
100006268
RAILROAD MEDICARE
—
01
—
1982628806
MONTANA MEDICAID
WA
01
—
805167700
IDAHO MEDICAID
WA
05
—
8120032
—
WA
01
—
JI9861
BLUE SHIELD
WA
01
—
MD5024
ALASKA MEDICAID
WA
01
—
US0818917
AETNA/USHC PCP
WA
01
—
US0899649
AETNA/USHC SPECIALIST
WA
Enumeration date
07/26/2006
Last updated
02/22/2013
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