Organization
J. L. GARRED, SR., M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L GARRED SR. M.D. (PRESIDENT)
(712) 455-2431
Entity
Organization
Contact information
Practice address
153 BLAIR ST, WHITING, IA 51063-1007
(712) 455-2431
(712) 455-2698
Mailing address
153 BLAIR ST, PO BOX 289, WHITING, IA 51063-1007
(712) 455-2431
(712) 455-2698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP8181
RAILROAD MEDICARE
—
Enumeration date
04/26/2007
Last updated
05/21/2008
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