Individual
MR. MARK GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1801 SENATE BLVD, INDIANAPOLIS, IN 46202-1228
(317) 962-2000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002824A
IN
Other
Enumeration date
10/11/2019
Last updated
03/12/2021
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