Individual
GEOFFREY CHARLES JIRANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS M4-PA, SEATTLE, WA 98101-2756
(206) 515-5811
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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