Individual
MARK THOMAS GARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
243 THREE SPRINGS DR STE 5A, WEIRTON, WV 26062-3839
(740) 792-4220
Mailing address
68 FINCH AVE, WHEELING, WV 26003-2626
(304) 224-8456
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112744
WV
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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