Individual
MS. BETTY ANN GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
FORT DEFIANCE PHS HOSPITAL, CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8782
Mailing address
PO BOX 196, FORT DEFIANCE, AZ 86504-0196
(928) 729-8782
(928) 729-8930
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
223
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94088578
—
NM
Enumeration date
11/15/2006
Last updated
07/08/2007
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