CHARLES O GARRISON

POCATELLO, ID
NPI1366441156
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine
(Licence: ID  M3488)
Enumeration Date2005-07-14
Last Update Date2007-07-13
Business Address
CHARLES O GARRISON MD
1125 W ALAMEDA RD
POCATELLO, ID 83201-6143
Phone number: 208-237-1151
Mailing Address
CHARLES O GARRISON MD
1125 W ALAMEDA RD
POCATELLO, ID 83201-6143
Phone number: 208-237-1151
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