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NPI Code Detail

MEDICARE: PATRICIA G MCGARRY M.D.

MEDICARE: PATRICIA G MCGARRY 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
1207Q00000XFamily Medicine PhysicianE0689AR

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 : 1891816153
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA G MCGARRY M.D.
Provider Business Mailing Address
First Line : 6640 CONGO RD.
Second Line :
City : BENTON
State : AR
Zip : 72019-6913
Country : US
Telephone Number : 501-794-4110
Fax Number : 501-316-9360
Provider Business Practice Location Address
First Line : 6640 CONGO RD.
Second Line :
City : BENTON
State : AR
Zip : 72019-6913
Country : US
Telephone Number : 501-794-4110
Fax Number : 501-316-9360
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 06/04/2015

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