Individual
DR. JENNIFER F GARWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6635 COMANCHE ST, BONNERS FERRY, ID 83805-7523
(208) 267-1718
(208) 267-7739
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M8663
ID
207R00000X
Internal Medicine Physician
Primary
MD60535266
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010142695
REGENCE OF IDAHO GROUP
ID
01
—
000010148248
REGENCE OF IDAHO
ID
01
—
043634356
BRCHC TAX ID
ID
01
—
71688
BLUE CROSS OF IDAHO
ID
05
—
806041700
—
ID
05
—
806590100
—
ID
01
—
8H104
BLUE CROSS OF IDAHO GROUP
ID
Enumeration date
10/31/2005
Last updated
01/28/2016
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