Healthcare Provider Details

I. General information

NPI: 1164498150
Provider Name (Legal Business Name): ROBERT T GARRETT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 STEINDLER WAY STE B
NORTH LIBERTY IA
52317-7907
US

IV. Provider business mailing address

2301 STEINDLER WAY STE B
NORTH LIBERTY IA
52317-7907
US

V. Phone/Fax

Practice location:
  • Phone: 319-338-3606
  • Fax: 319-338-0522
Mailing address:
  • Phone: 319-338-3606
  • Fax: 319-338-0522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number27497
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number27497
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: