Individual
DR. CARLA GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1530 E. BRADFORD PARKWAY, SPRINGFIELD, MO 65804-4213
(417) 877-0630
(417) 877-0695
Mailing address
1530 E. BRADFORD PARKWAY, SPRINGFIELD, MO 65804-4213
(417) 877-0630
(417) 877-0695
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36789
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203402029
—
MO
Enumeration date
07/29/2005
Last updated
04/27/2016
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