Provider Demographics
NPI:1598757510
Name:GARNER, JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:GARNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:203 N WEIGLE AVE
Mailing Address - Street 2:PO BOX 60
Mailing Address - City:WATONGA
Mailing Address - State:OK
Mailing Address - Zip Code:73772-3840
Mailing Address - Country:US
Mailing Address - Phone:580-623-2233
Mailing Address - Fax:580-623-2232
Practice Address - Street 1:203 N WEIGLE AVE
Practice Address - Street 2:
Practice Address - City:WATONGA
Practice Address - State:OK
Practice Address - Zip Code:73772-3840
Practice Address - Country:US
Practice Address - Phone:580-623-2233
Practice Address - Fax:580-623-2232
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK23092207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKH68467Medicare UPIN