Individual
DALLAS GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
308 S CHURCH ST, FAYETTE, MO 65248-1243
(660) 248-2217
(660) 248-3450
Mailing address
1 HOSPITAL DR, COLUMBIA, MO 65201-5276
(573) 884-2912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023024599
MO
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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