Individual
CHRISTOPHER GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1530 E REPUBLIC RD, SPRINGFIELD, MO 65804-6530
(417) 269-1362
(417) 269-1372
Mailing address
3800 S NATIONAL AVE, #540, SPRINGFIELD, MO 65807-5209
(417) 269-5712
(417) 269-4869
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2004014084
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190891
BLUE CROSS OF MO
—
Enumeration date
09/20/2006
Last updated
03/19/2008
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