Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DS021500L | PA |
Y | 213EG0000X | General Practice | DS021500L | PA |
NPI | 1003937467 |
---|---|
Provider Name | F. James Garrett |
First Address | Pittsburgh, PA 15211-0006 |
Second Address | Pittsburgh, PA 15211-1639 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 08/07/2007 |