Individual
JOHN MARK GARLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1464 JEFFERSON ST N, LEWISBURG, WV 24901-1380
(304) 645-3220
(844) 479-4545
Mailing address
1464 JEFFERSON ST N, LEWISBURG, WV 24901-1380
(304) 645-3220
(844) 479-4545
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
1819
WV
207Q00000X
Family Medicine Physician
Primary
1819
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11076564
CAQH ID #
—
05
—
1802009000
—
WV
Enumeration date
07/07/2006
Last updated
04/03/2020
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