Provider Demographics
NPI:1942434618
Name:GARBER, JAMES S (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:S
Last Name:GARBER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 5579
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85385-5579
Mailing Address - Country:US
Mailing Address - Phone:623-225-6191
Mailing Address - Fax:
Practice Address - Street 1:7717 W DEER VALLEY RD
Practice Address - Street 2:SUITE 125
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-2102
Practice Address - Country:US
Practice Address - Phone:623-561-6300
Practice Address - Fax:623-572-5400
Is Sole Proprietor?:No
Enumeration Date:2009-05-11
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0713213ES0103X, 213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine