| J. L. Garred, Sr., M.d.p.c. | |
|
153 Blair St Whiting IA 51063-1007 | |
| (712) 455-2431 | |
| (712) 455-2698 |
| Full Name | J. L. Garred, Sr., M.d.p.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 153 Blair St, Whiting, Iowa |
| Authorized Official Name and Position | John L Garred (PRESIDENT) |
| Authorized Official Contact | 7124552431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. L. Garred, Sr., M.d.p.c. 153 Blair St Po Box 289 Whiting IA 51063-1007 Ph: (712) 455-2431 | J. L. Garred, Sr., M.d.p.c. 153 Blair St Whiting IA 51063-1007 Ph: (712) 455-2431 |
| NPI Number | 1669692380 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669692380 | NPI | - | NPPES |
| CP8181 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Burgess Clinic - Whiting Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 153 Blair St, Whiting, IA 51063 Phone: 712-455-2431 Fax: 712-455-2698 |