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Contact Information

MIRIAM G GEOFFROY, MD
677 N WILMOT RD
TUCSON, AZ85711-2701
 Phone: 520-795-2889
 Fax: 520-795-6321
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Ultrasound

2085U0001X
 

Pediatric Radiology

2085P0229X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MIRIAM G GEOFFROY · (Female)

NPI Number 1235427857
Status Active
Credentials MD
Entity Individual
Enumeration date 07/17/2011
Last updated 03/07/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 46717
  • AZ License # R72874
  • AZ Medicaid 254299
  • AZ Other 005472 GROUP MEDICAID ID NUMBER
  • AZ Other 1841261989 GROUP NPI
Hospital affiliation(s)
  • BENSON HOSPITAL - (Critical Access)
    450 SOUTH OCOTILLO STREET
    BENSON, AZ 85602
  • CARONDELET ST JOSEPHS HOSPITAL - (Acute Care)
    350 NORTH WILMOT ROAD
    TUCSON, AZ 85711
  • NORTHERN COCHISE COMMUNITY HOSPITAL - (Critical Access)
    901 WEST REX ALLEN DRIVE
    WILLCOX, AZ 85643
  • NORTHWEST MEDICAL CENTER - (Acute Care)
    6200 NORTH LA CHOLLA BOULEVARD
    TUCSON, AZ 85741
  • TUCSON MEDICAL CENTER - (Acute Care)
    5301 EAST GRANT ROAD
    TUCSON, AZ 85712
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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