Individual
JERRY K GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
1210 E 17TH ST, IDAHO FALLS, ID 83404-6147
(208) 535-0006
(208) 535-0007
Mailing address
1210 E 17TH ST, IDAHO FALLS, ID 83404-6147
(208) 535-0006
(208) 535-0007
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-105
ID
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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