Individual
DR. BENJAMIN B GARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3200 CHANNING WAY STE 205A, IDAHO FALLS, ID 83404-7586
(208) 535-4567
(208) 535-4569
Mailing address
PO BOX 277381, ATLANTA, GA 30384-7381
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
O-0526
ID
207X00000X
Orthopaedic Surgery Physician
OT006554T
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497913008
—
MT
05
—
808443100
—
ID
Enumeration date
05/30/2008
Last updated
07/21/2022
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