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JARED DANIEL GARRISON D.O.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1689692865
Individual Registrant: JARED DANIEL GARRISON D.O.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
1133 W SYCAMORE ST WILLOWS, CA 95988-2601 US
Tel: 530-934-1816 Fax: 530-934-1991
Tel: 530-934-1816 Fax: 530-934-1991
Contact information for business:
1133 W SYCAMORE ST WILLOWS, CA 95988-2601 US
Tel: 530-934-1816 Fax: 530-934-1991
Tel: 530-934-1816 Fax: 530-934-1991
Registration Information:
NPI: 1689692865
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CA | 20A8298 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
