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NPI Code Detail

MEDICARE: SHEILA G GARVEY MD

MEDICARE: SHEILA G GARVEY 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
1208600000XSurgery PhysicianM-13814ID
2208600000XSurgery Physician276890-1205UT

General Provider Information

NPI Number : 1245227792
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA G GARVEY MD
Provider Business Mailing Address
First Line : 2006 CEDAR BENCH DR
Second Line :
City : OGDEN
State : UT
Zip : 84405-7705
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 415 6TH ST
Second Line :
City : LEWISTON
State : ID
Zip : 83501-2431
Country : US
Telephone Number : 208-743-7612
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2005
Last Update Date : 01/20/2022

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