# J. L. GARRED, SR., M.D.P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669692380
- **Authorized official:** DR. JOHN L GARRED SR. M.D. (PRESIDENT)
- **Authorized official phone:** (712) 455-2431

## Contact information

- **Practice address:** 153 BLAIR ST, WHITING, IA 51063-1007
- **Practice address phone:** (712) 455-2431
- **Practice address fax:** (712) 455-2698
- **Mailing address:** 153 BLAIR ST, PO BOX 289, WHITING, IA 51063-1007
- **Mailing address phone:** (712) 455-2431
- **Mailing address fax:** (712) 455-2698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 05/21/2008