Provider Demographics
NPI:1295723690
Name:GARMAN, SEAN W (MD)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:W
Last Name:GARMAN
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 1:801 W 5TH AVE
Mailing Address - Street 2:STE 407
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2823
Mailing Address - Country:US
Mailing Address - Phone:509-455-8233
Mailing Address - Fax:509-455-8234
Practice Address - Street 1:801 W 5TH AVE
Practice Address - Street 2:STE 407
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2823
Practice Address - Country:US
Practice Address - Phone:509-455-8233
Practice Address - Fax:509-455-8234
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00035833207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA120988OtherLABOR & INDUSTRIES
WA1104124Medicaid
WA120988OtherLABOR & INDUSTRIES
WAGAB03598Medicare ID - Type Unspecified