Individual
WAYNE LEE GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
712 ALFRED NOBEL DR, HERCULES, CA 94547-1805
(510) 662-5200
(510) 662-5240
Mailing address
96 MUSEUM WAY, SAN FRANCISCO, CA 94114-1428
(510) 662-5200
(510) 662-5240
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
OS008397L
PA
207ZP0101X
Anatomic Pathology Physician
20A5450
CA
Other
Enumeration date
01/20/2007
Last updated
01/15/2021
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