Healthcare Provider Details

I. General information

NPI: 1891827168
Provider Name (Legal Business Name): RICHARD GARNETT MCLAREN MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 LOWER NAVY HILL COMMONHEALTH HEALTH CENTER
SAIPAN MP
96950
US

IV. Provider business mailing address

PO BOX 10002 PMB 4321
SAIPAN MP
96950
US

V. Phone/Fax

Practice location:
  • Phone: 670-234-8950
  • Fax: 670-236-8600
Mailing address:
  • Phone: 670-322-7424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0406
License Number StateMP

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: