# PAMELA R. GARNER D.O. PLLC

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

## Provider details

- **NPI number:** 1740576842
- **Authorized official:** DR. PAMELA R GARNER D.O. (OWNER/DOCTOR)
- **Authorized official phone:** (580) 327-6880

## Contact information

- **Practice address:** 410 4TH ST, SUITE K, ALVA, OK 73717-2372
- **Practice address phone:** (580) 327-6880
- **Practice address fax:** (580) 327-6891
- **Mailing address:** 410 4TH ST, SUITE K, ALVA, OK 73717-2372
- **Mailing address phone:** (580) 327-6880
- **Mailing address fax:** (580) 327-6891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 4409 | OK | Yes |

## Other

- **Enumeration date:** 06/27/2011
- **Last updated:** 06/27/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1164561353 | NPI-PERSONAL | OK |