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NPI Code Detail

MEDICARE: DR. WILLIAM GARRETSON D.O.

MEDICARE: DR. WILLIAM GARRETSON D.O.
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
1208600000XSurgery PhysicianDO208AL
22086S0102XSurgical Critical Care PhysicianDO208AL
32086S0129XVascular Surgery PhysicianDO208AL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4020047703OTHERALRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1051099973OTHERALBLUE CROSS/BLUE SHIELD
288588OTHERALHEALTH PARTNERS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306842570
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM GARRETSON D.O.
Provider Business Mailing Address
First Line : 2935 THOUSAND OAKS
Second Line : SUITE 294
City : SAN ANTONIO
State : TX
Zip : 78247-3316
Country : US
Telephone Number : 210-494-1100
Fax Number : 210-494-1117
Provider Business Practice Location Address
First Line : 1613 N MCKENZIE ST
Second Line :
City : FOLEY
State : AL
Zip : 36535-2247
Country : US
Telephone Number : 251-949-3920
Fax Number : 251-949-3930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 03/17/2018

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Directions to “ DR. WILLIAM GARRETSON D.O.” Practice Location

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