Individual
DR. NOLAN ROBERT GARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1700 RAINBOW BLVD, EXCELSIOR SPRINGS, MO 64024-1182
(816) 630-6081
Mailing address
500 S MAPLE ST, WACONIA, MN 55387-1752
(952) 442-2191
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2014016477
MO
207Q00000X
Family Medicine Physician
Primary
2022032018
MO
Other
Enumeration date
06/25/2014
Last updated
12/19/2022
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