Stacy Garrison is a Surgical in Modesto, California. Stacy Garrison practices all healthcare services and medical treatments related to Surgical. The NPI Number for Stacy Garrison is 1033240833. The last update date is 2022-02-11.
Stacy Garrison's current location address is 4601 Dale Rd, Modesto, California. You can contact this provider via phone number 2097356102. The mailing address for Stacy Garrison is 4601 Dale Rd, Modesto, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stacy Garrison |
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Address | 4601 Dale Rd, Modesto, California |
Phone Number | 2097356102 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PAC |
NPI Number Detail
NPI Number | 1033240833 |
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Provider Enumeration Date | 2007-03-07 |
Last Updated Date | 2022-02-11 |
Provider Mailing Address Detail
Address | 4601 Dale Rd |
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City | Modesto |
State | California (CA) |
Post Code | 953569718 |
Phone Number | 2097356102 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | PA18133 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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What is the unique 10-digit identification code assigned to Stacy Garrison by the Centers for Medicare & Medicaid Services?
The Stacy Garrison has been issued the NPI (National Provider Identifier) 1033240833, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Stacy Garrison's facilities are situated?
The facilities of Stacy Garrison are physically located at the following address: 4601 Dale Rd, Modesto, CA, 953569718.
What is Stacy Garrison's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stacy Garrison is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033240833 to Stacy Garrison?
The Centers for Medicare & Medicaid Services originally issued the 1033240833 to Stacy Garrison on 2007-03-07.
When was the information regarding Stacy Garrison, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Stacy Garrison, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-02-11.