Provider Demographics
NPI:1114061264
Name:GARNER, JOSEPH HERMAN (LAC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:HERMAN
Last Name:GARNER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7418 E HELM DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2418
Mailing Address - Country:US
Mailing Address - Phone:480-483-8986
Mailing Address - Fax:480-443-2759
Practice Address - Street 1:7418 E HELM DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2418
Practice Address - Country:US
Practice Address - Phone:480-483-8986
Practice Address - Fax:480-443-2759
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0466171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist