MEDICARE: ROBERT DALE GARNER DO

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1609525088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT DALE GARNER DO

Provider Business Mailing Address
First Line	:	556 PARKVIEW DR
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-3168
Country	:	US
Telephone Number	:	972-467-3932
Fax Number	:

Provider Business Practice Location Address
First Line	:	6667 HOLMES RD STE 129
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-1109
Country	:	US
Telephone Number	:	816-459-7500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2022
Last Update Date	:	03/22/2022

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