Individual
DR. JACK SHOUP GARLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1397 WEIMER RD, TAOS, NM 87571-6284
(505) 751-5884
(505) 737-3398
Mailing address
1397 WEIMER RD, TAOS, NM 87571-6284
(505) 751-5884
(505) 737-3398
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
2002-0370
NM
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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