Provider Demographics
NPI:1689974149
Name:GARRISON, CURTIS (DO)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:
Last Name:GARRISON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 WASHINGTON ST
Mailing Address - Street 2:PO BOX E
Mailing Address - City:CONNEAUTVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16406-7138
Mailing Address - Country:US
Mailing Address - Phone:814-373-2276
Mailing Address - Fax:814-587-2918
Practice Address - Street 1:906 WASHINGTON ST
Practice Address - Street 2:PO BOX E
Practice Address - City:CONNEAUTVILLE
Practice Address - State:PA
Practice Address - Zip Code:16406-7138
Practice Address - Country:US
Practice Address - Phone:814-373-2276
Practice Address - Fax:814-587-2918
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT013302207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine