Individual
GARRET GLEN DOCKWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 CENTENNIAL DR, CHADRON, NE 69337-9400
(308) 432-4441
Mailing address
825 CENTENNIAL DR, CHADRON, NE 69337-9400
(308) 432-4441
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BP10074685
TX
Other
Enumeration date
04/26/2021
Last updated
06/09/2024
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