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NPI Code Detail

MEDICARE: TODD MICHAEL GARRETT M.D.

MEDICARE: TODD MICHAEL GARRETT M.D.
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
1207R00000XInternal Medicine Physician8715379-1205UT

General Provider Information

NPI Number : 1255537429
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD MICHAEL GARRETT M.D.
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1303 N MAIN ST STE 3C
Second Line :
City : CEDAR CITY
State : UT
Zip : 84721-9746
Country : US
Telephone Number : 435-868-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2007
Last Update Date : 01/13/2026

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