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NPI Code Detail

MEDICARE: STUART E GARRISON MD

MEDICARE: STUART E GARRISON 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
12085R0202XDiagnostic Radiology Physician24439OK

General Provider Information

NPI Number : 1326016775
Entity Type Code : Individual
Provider Name (Legal Business Name) : STUART E GARRISON MD
Provider Business Mailing Address
First Line : 1122 NE 13TH ST
Second Line : ORI236
City : OKLAHOMA CITY
State : OK
Zip : 73117-1039
Country : US
Telephone Number : 405-271-1515
Fax Number :
Provider Business Practice Location Address
First Line : 700 NE 13TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5004
Country : US
Telephone Number : 405-271-5125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2006
Last Update Date : 07/03/2008

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Directions to “ STUART E GARRISON MD” Practice Location

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