Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 35 023660 | OH |
NPI | 1346359858 |
---|---|
Provider Name | Dr. Stanley L. Garber |
First Address | Kettering, OH 45419-1245 |
Second Address | Chillicothe, OH 45601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 08/07/2007 |