Individual
DR. DALE G GARRETT
Active
Individual
DR. DALE G GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
04-31024
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002329
MEDICARE PTAN
KS
05
—
200337260A
—
KS
Enumeration date
04/10/2006
Last updated
09/25/2015
Update your record
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