MEDICARE: GEORGE PARKER GARMANY JR. M.D.

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	2084N0400X	Neurology Physician	20158	CO

Other Identifiers

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

General Provider Information

NPI Number	:	1558302901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE PARKER GARMANY JR. M.D.

Provider Business Mailing Address
First Line	:	5450 WESTERN AVE
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80301-2709
Country	:	US
Telephone Number	:	303-415-4770
Fax Number	:	303-415-4769

Provider Business Practice Location Address
First Line	:	1000 ALPINE AVE
Second Line	:	SUITE 180
City	:	BOULDER
State	:	CO
Zip	:	80304-3406
Country	:	US
Telephone Number	:	303-449-3566
Fax Number	:	303-443-4620

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	05/05/2016

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