Individual
GEOFFREY GARST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
224 W D.L. INGRAM AVENUE, BUILDING 1408, CANNON AFB, NM 88103
(575) 904-4035
Mailing address
27TH SOMG FLIGHT AND OPERATIONAL MEDICINE, 224 W D.L. INGRAM AVENUE, BUILDING 1408, CANNON AFB, NM 88103
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
35.143521
OH
207P00000X
Emergency Medicine Physician
MD2023-1066
NM
Other
Enumeration date
07/05/2012
Last updated
09/06/2023
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