Organization
CHARLES A GARRETSON MD SOLE MBR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES A GARRETSON MD (PRESIDENT)
(530) 533-6100
Entity
Organization
Contact information
Practice address
2721 OLIVE HWY, STE 2, OROVILLE, CA 95966-6115
(530) 533-6100
(530) 533-6102
Mailing address
2721 OLIVE HWY, STE 2, OROVILLE, CA 95966-6115
(530) 533-6100
(530) 533-6102
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G86610
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CA
Enumeration date
05/31/2012
Last updated
06/21/2012
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