Individual
SUSAN V GARSTANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 FOOTHILL BLVD # MC11E, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-2584
Mailing address
500 FOOTHILL BLVD # MC11E, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-2584
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
25MA06828700
NJ
2081P0004X
Spinal Cord Injury Medicine Physician
J9503
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K00003612
—
TX
Enumeration date
01/20/2006
Last updated
05/06/2022
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