Individual
JASON SAMUEL GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(502) 587-4404
(502) 587-4156
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 361-6617
(502) 361-6637
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
45203
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201208450A-KOHMG
—
IN
05
—
7100210470
—
KY
Enumeration date
07/22/2009
Last updated
05/29/2019
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