Provider Demographics
NPI:1801819925
Name:DONALD JAMES GARLAND JR PC
Entity Type:Organization
Organization Name:DONALD JAMES GARLAND JR PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:GARLAND
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:520-321-4731
Mailing Address - Street 1:2017 E GRANT RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-3410
Mailing Address - Country:US
Mailing Address - Phone:520-321-4731
Mailing Address - Fax:520-321-3722
Practice Address - Street 1:2017 E GRANT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-3410
Practice Address - Country:US
Practice Address - Phone:520-321-4731
Practice Address - Fax:520-321-3722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ108345Medicare ID - Type Unspecified