Individual
RUSSELL LEE GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 496-3365
Mailing address
PO BOX 64006, MCBH KANEOHE BAY, HI 96863-4000
(808) 496-3365
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
0101286694
VA
Other
Enumeration date
03/25/2024
Last updated
04/07/2026
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