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Individual

DR. KIRK KENDAL GARMAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2769 HEARTLAND DR, SUITE 105, CORALVILLE, IA 52241-2732
(319) 545-7310
(319) 545-7314
Mailing address
2771 OAKDALE BLVD STE 3, CORALVILLE, IA 52241-9747
(319) 545-7310
(319) 626-7314

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
30407
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1121962
IA
01
19352
BLUE CROSS BLUE SHIELD
IA
05
2121962
IA
05
3121962
IA
01
38533
BLUE CROSS BLUE SHIELD
IA
01
38534
BLUE CROSS BLUE SHIELD
IA
01
38535
BLUE CROSS BLUE SHIELD
IA
Enumeration date
05/18/2006
Last updated
04/27/2021
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