Individual
JOHN C GARRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
671 EDGEWOOD DR SE, BROOKFIELD, OH 44403-9720
(330) 448-6351
Mailing address
671 EDGEWOOD DR SE, BROOKFIELD, OH 44403-9720
(330) 448-6351
(330) 448-4439
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01034735A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
35035426
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225723
UNISON
OH
01
—
000000527824
ANTHEM
OH
01
—
0304914
BCMH
OH
05
—
0891174
—
OH
01
—
421783
WELLCARE
OH
01
—
751140
BUCKEYE
OH
01
—
7541366
AETNA
OH
01
—
P00412459
RAILROAD MEDICARE
OH
Enumeration date
10/05/2006
Last updated
05/22/2008
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