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Individual

DR. THOMAS J GARRITY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
236 MAIN STREET, HOVEN, SD 57450-0498
(605) 948-2269
(605) 948-2260
Mailing address
PO BOX 498, HOVEN, SD 57450-0498
(605) 948-2269
(605) 948-2260

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
136
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0100360
BCBS
SD
05
9201010
SD
05
9201013
SD
Enumeration date
01/28/2006
Last updated
06/20/2008
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