Mark Anthony Garrison in Redondo Beach - Chiropractor
Mark Anthony Garrison - NPI 1740233949
Mark Anthony Garrison is a Chiropractor in Redondo Beach, California. Mark Anthony Garrison practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mark Anthony Garrison is 1740233949. The last update date is 2010-11-11.
Mark Anthony Garrison's current location address is 627 S Catalina Ave, Redondo Beach, California. You can contact this provider via phone number 4242129428 and fax number 4242103512. The mailing address for Mark Anthony Garrison is 627 S Catalina Ave, Redondo Beach, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark Anthony Garrison |
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Address | 627 S Catalina Ave, Redondo Beach, California |
Phone Number | 4242129428 |
Fax Number | 4242103512 |
Sole Proprietor | N |
Credentials | DC |
NPI Number Detail
NPI Number | 1740233949 |
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Provider Enumeration Date | 2006-05-18 |
Last Updated Date | 2010-11-11 |
Provider Mailing Address Detail
Address | 627 S Catalina Ave |
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City | Redondo Beach |
State | California (CA) |
Post Code | 902774102 |
Phone Number | 4242129428 |
Fax Number | 4242103512 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 2566 |
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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6CH356 | SC | -- |
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What is the unique 10-digit identification code issued to Mark Anthony Garrison by the Centers for Medicare & Medicaid Services?
The Mark Anthony Garrison has been assigned the NPI (National Provider Identifier) 1740233949 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Mark Anthony Garrison?
The Mark Anthony Garrison is situated at 627 S Catalina Ave, in the city of Redondo Beach, state of CA, with the zip code 902774102.
What is Mark Anthony Garrison's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark Anthony Garrison's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740233949 to Mark Anthony Garrison?
The Centers for Medicare & Medicaid Services assigned the 1740233949 to Mark Anthony Garrison on 2006-05-18.
As of what date were the Mark Anthony Garrison's details last updated?
The information pertaining to the Mark Anthony Garrison, including its address, specialty, and other details, was most recently updated on 2010-11-11.