MEDICARE: DR. MINDI SUZANNE GARNER D.O.

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	207R00000X	Internal Medicine Physician	0529478	KS

General Provider Information

NPI Number	:	1831192921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MINDI SUZANNE GARNER D.O.

Provider Business Mailing Address
First Line	:	127 W 5TH ST
Second Line	:
City	:	PITTSBURG
State	:	KS
Zip	:	66762-3801
Country	:	US
Telephone Number	:	620-232-7900
Fax Number	:	620-232-7901

Provider Business Practice Location Address
First Line	:	127 W 5TH ST
Second Line	:
City	:	PITTSBURG
State	:	KS
Zip	:	66762-3801
Country	:	US
Telephone Number	:	620-232-7900
Fax Number	:	620-232-7901

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	01/22/2010

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