MEDICARE: DONALD D. GARVIN D.C.

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	111NX0800X	Orthopedic Chiropractor	328	MT

General Provider Information

NPI Number	:	1063571396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD D. GARVIN D.C.

Provider Business Mailing Address
First Line	:	926 MAIN STREET
Second Line	:	SUITE 17
City	:	BILLINGS
State	:	MT
Zip	:	59105-3359
Country	:	US
Telephone Number	:	406-245-4800
Fax Number	:	406-245-6504

Provider Business Practice Location Address
First Line	:	926 MAIN ST
Second Line	:	SUITE 17
City	:	BILLINGS
State	:	MT
Zip	:	59105-3359
Country	:	US
Telephone Number	:	406-245-4800
Fax Number	:	406-245-6504

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

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	07/08/2007

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