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NPI Code Detail

MEDICARE: JOHN DAVID GARMON MD

MEDICARE:   JOHN DAVID GARMON  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 PhysicianC41916CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497762033
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN DAVID GARMON MD
Provider Business Mailing Address
First Line : 230 W PALM ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-5523
Country : US
Telephone Number : 858-535-9121
Fax Number : 858-623-8519
Provider Business Practice Location Address
First Line : 230 W PALM ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-5523
Country : US
Telephone Number : 858-535-9121
Fax Number : 858-623-8519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2006
Last Update Date : 02/01/2021

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