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WAYNE LEE GARRETT DO

Anatomic Pathology >> Pathology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1528111598

Individual Registrant:
 WAYNE LEE GARRETT DO
Gender: M
Sole Proprietor

Location and contact information for practice:
712 ALFRED NOBEL DR  HERCULES, CA 94547-1805 US
Tel: 510-662-5200  Fax: 510-662-5240

Contact information for business:
96 MUSEUM WAY  SAN FRANCISCO, CA 94114-1428 US
Tel: 510-662-5200  Fax: 510-662-5240

Registration Information:
NPI: 1528111598
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207ZP0101XAllopathic & Osteopathic Physicians
Pathology
Anatomic Pathology
CA20A5450
Y207ZC0006XAllopathic & Osteopathic Physicians
Pathology
PAOS008397L

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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