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NPI Code Detail

MEDICARE: DR. JAY WESLEY GARBER MD

MEDICARE: DR. JAY WESLEY GARBER MD
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
12084P0800XPsychiatry Physician41338OK

General Provider Information

NPI Number : 1073134375
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAY WESLEY GARBER MD
Provider Business Mailing Address
First Line : 920 STANTON L YOUNG BLVD STE 3216
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5036
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 920 STANTON L YOUNG BLVD STE 3216
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5036
Country : US
Telephone Number : 405-271-8001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2020
Last Update Date : 06/13/2023

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