Douglas Garrison, Do | |
1025 Village Ln Chico CA 95926-2812 | |
(530) 566-0132 | |
(530) 566-1682 |
Full Name | Douglas Garrison, Do |
---|---|
Speciality | Family Medicine |
Location | 1025 Village Ln, Chico, California |
Authorized Official Name and Position | Douglas Garrison (DO, CEO) |
Authorized Official Contact | 5305660132 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Douglas Garrison, Do 1025 Village Ln Chico CA 95926-2812 Ph: (530) 566-0132 | Douglas Garrison, Do 1025 Village Ln Chico CA 95926-2812 Ph: (530) 566-0132 |
NPI Number | 1427133644 |
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Provider Enumeration Date | 10/26/2006 |
Last Update Date | 04/17/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427133644 | NPI | - | NPPES |
00AX62920 | Medicaid | CA | |
DD4269 | Other | MEDICARE RAILROAD GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A6292 (California) | Primary |
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Chico Immediate Care Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 376 Vallombrosa Ave, Chico, CA 95926 Phone: 530-891-1676 Fax: 530-891-1833 | |
Chico State University, Student Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Warner Ave & College Dr, Chico, CA 95929 Phone: 530-898-5241 Fax: 530-898-4057 | |
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