Provider Demographics
NPI:1760433312
Name:GARWOOD, VERNON FORD (MD)
Entity Type:Individual
Prefix:
First Name:VERNON
Middle Name:FORD
Last Name:GARWOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 S 70TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-1566
Mailing Address - Country:US
Mailing Address - Phone:402-464-9000
Mailing Address - Fax:402-464-4447
Practice Address - Street 1:1520 S 70TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1566
Practice Address - Country:US
Practice Address - Phone:402-464-9000
Practice Address - Fax:402-464-4447
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE11339207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE278247Medicare ID - Type Unspecified
NEB67589Medicare UPIN