Individual
GRADY LOUIS GARNER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17936 POPLAR LN, COUNTRY CLUB HILLS, IL 60478-2931
(708) 647-1612
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A87869
CA
Other
Enumeration date
01/22/2007
Last updated
07/08/2015
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