Provider Demographics
NPI:1376718478
Name:FRANK A GARNER M.D.
Entity Type:Organization
Organization Name:FRANK A GARNER M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:A
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:360-423-8900
Mailing Address - Street 1:600 ROYAL ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:KELSO
Mailing Address - State:WA
Mailing Address - Zip Code:98626-1166
Mailing Address - Country:US
Mailing Address - Phone:360-423-8900
Mailing Address - Fax:360-575-1754
Practice Address - Street 1:600 ROYAL ST
Practice Address - Street 2:SUITE D
Practice Address - City:KELSO
Practice Address - State:WA
Practice Address - Zip Code:98626-1166
Practice Address - Country:US
Practice Address - Phone:360-423-8900
Practice Address - Fax:360-575-1754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAWA MD 000441482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8858020Medicare PIN