Provider Demographics
NPI:1245452192
Name:SCRIVER, GEOFFREY M (MD)
Entity type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:M
Last Name:SCRIVER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:111 COLCHESTER AVE
Mailing Address - Street 2:UVM MEDICAL CENTER, DEPT. OF RADIOLOGY
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-1473
Mailing Address - Country:US
Mailing Address - Phone:802-847-8359
Mailing Address - Fax:802-847-5466
Practice Address - Street 1:111 COLCHESTER AVE
Practice Address - Street 2:UVM MEDICAL CENTER, DEPT. OF RADIOLOGY
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-1473
Practice Address - Country:US
Practice Address - Phone:802-847-8359
Practice Address - Fax:802-847-5466
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2016-07-18
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Provider Licenses
StateLicense IDTaxonomies
VT042.00117802085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology