Provider Demographics
NPI:1326289174
Name:JAMES G GARRICK M D A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:JAMES G GARRICK M D A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:G
Authorized Official - Last Name:GARRICK
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:415-353-6400
Mailing Address - Street 1:900 HYDE ST
Mailing Address - Street 2:11TH FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-4806
Mailing Address - Country:US
Mailing Address - Phone:415-353-6400
Mailing Address - Fax:415-353-6401
Practice Address - Street 1:900 HYDE ST
Practice Address - Street 2:11TH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-4806
Practice Address - Country:US
Practice Address - Phone:415-353-6400
Practice Address - Fax:415-353-6401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-08
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty