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NPI Code Detail

MEDICARE: JOSEPH SCOTT GAREIS CRNA

MEDICARE: JOSEPH SCOTT GAREIS CRNA
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
1367500000XCertified Registered Nurse AnesthetistR0069924OK

General Provider Information

NPI Number : 1710224068
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH SCOTT GAREIS CRNA
Provider Business Mailing Address
First Line : PO BOX 5188
Second Line :
City : LONGVIEW
State : TX
Zip : 75608-5188
Country : US
Telephone Number : 800-939-7440
Fax Number : 214-382-5417
Provider Business Practice Location Address
First Line : 6580 JUDSON RD
Second Line :
City : LONGVIEW
State : TX
Zip : 75605-7076
Country : US
Telephone Number : 800-939-7440
Fax Number : 214-382-5417
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2013
Last Update Date : 01/07/2013

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