Organization
DMJ MEDICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S. GARRISON DO (PRESIDENT)
(530) 566-0132
Entity
Organization
Contact information
Practice address
1025 VILLAGE LN, CHICO, CA 95926-2812
(530) 566-0132
(530) 566-1682
Mailing address
702 MANGROVE AVE, PMB 313, CHICO, CA 95926-3948
(530) 566-0132
(530) 566-1682
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
20A9268
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831352715
—
CA
01
—
DP0994
RAILROAD MEDICARE
CA
Enumeration date
07/09/2008
Last updated
10/17/2011
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