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Contact Information

GEOFFREY M CROCKETT, MD
900 ROUND VALLEY DR
PARK CITY, UT84060-7552
 Phone: 435-658-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for GEOFFREY M CROCKETT · (Male)

NPI Number 1780645697
Status Active
Credentials MD
Entity Individual
Enumeration date 03/30/2006
Last updated 07/13/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 5848509-1205
  • UT Medicaid D6280
Hospital affiliation(s)
  • HEBER VALLEY MEDICAL CENTER - (Critical Access)
    1485 SOUTH HIGHWAY 40
    HEBER CITY, UT 84032
  • PARK CITY MEDICAL CENTER - (Acute Care)
    900 ROUND VALLEY DRIVE
    PARK CITY, UT 84060
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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