Individual
GARRETT CLITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
485 RITCHIE HWY, SUITE 102, SEVERNA PARK, MD 21146-2918
(410) 255-7900
(410) 255-7300
Mailing address
4411 CUMBERLAND HIGHWAY, MEYERSDALE, PA 15552
(410) 255-7900
(410) 522-7300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006441
MD
Other
Enumeration date
05/09/2017
Last updated
05/09/2017
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