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Individual

BLAKE R. GARMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
30 BALDWIN BLVD, SHAMOKIN DAM, PA 17876-9519
(570) 884-7970
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101253856
VA
207R00000X
Internal Medicine Physician
Primary
MD470852
PA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
0101253856
VA

Other

Enumeration date
03/26/2010
Last updated
02/11/2021
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