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NPI Code Detail

MEDICARE: DR. BRIAN DE GARMO DC

MEDICARE:  DR. BRIAN  DE GARMO  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor35223CA

General Provider Information

NPI Number : 1245088475
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN DE GARMO DC
Provider Business Mailing Address
First Line : 340 HOLIDAY HILLS DR
Second Line :
City : MARTINEZ
State : CA
Zip : 94553-4216
Country : US
Telephone Number : 925-695-6122
Fax Number :
Provider Business Practice Location Address
First Line : 4675 STEVENS CREEK BLVD STE 121
Second Line :
City : SANTA CLARA
State : CA
Zip : 95051-6763
Country : US
Telephone Number : 408-394-0288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2024
Last Update Date : 05/13/2024

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Directions to “ DR. BRIAN DE GARMO DC” Practice Location

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