Individual
DAVID ANDREW GARRITY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 535-4130
(508) 535-4125
Mailing address
PO BOX 1647, 2860 CHANNING WAY SUITE 115, IDAHO FALLS, ID 83403-1647
(208) 535-4130
(208) 535-4125
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M7773
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58016
BLUE CROSS
ID
Enumeration date
12/29/2005
Last updated
07/08/2007
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