Individual
DR. NICHOLAS GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
700 S MAIN ST, MOSCOW, ID 83843
(208) 882-4511
(208) 883-6580
Mailing address
PO BOX 8007, MOSCOW, ID 83843-0507
(208) 883-2224
(208) 883-6580
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
O-1226
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841673183
—
ID
Enumeration date
07/06/2015
Last updated
07/19/2024
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