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Individual

DR. JOHN EDWARD GARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6121 N THESTA, SUITE 202, FRESNO, CA 93710
(559) 440-0283
(559) 440-0192
Mailing address
6121 N THESTA, SUITE 202, FRESNO, CA 93710
(559) 440-0283
(559) 440-0192

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
4301046027
MI
208C00000X
Colon & Rectal Surgery Physician
Primary
G39995
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G399950
CA
Enumeration date
10/31/2006
Last updated
09/24/2008
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