Individual
COLIN MICHAEL GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE C, LOMA LINDA, CA 92354-2804
(909) 558-6491
Mailing address
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE C, LOMA LINDA, CA 92354-2804
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
87465
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
874655
—
SC
01
—
SCN2475019
MREDICARE PIN
SC
Enumeration date
05/11/2018
Last updated
08/16/2022
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