David Garrison, M.D.
Individual provider Active NPI Family Medicine Physician · University Park, PA
NPI 1053439463 · NPPES record last updated Jul 15, 2008
Key facts
- NPI
- 1053439463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD-032906-E (PA)
- Practice address
- 449 Student Health Center
University Park, PA 16802 - Phone
- (814) 863-8871
- Fax
- (814) 863-8464
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-032906-E | PA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD-032906-E | PA | Yes |
Addresses
Primary practice location
449 Student Health Center
University Park, PA 16802
Mailing address
449 Student Health Center
University Park, PA 16802
Phone (814) 863-8871
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GA514782 | Other | PA | BLUE SHIELD |
Other providers in University Park, PA
- Elizabeth Christina Ford
- Haley Frank
- Madelynne Fuchs
- Valerie Ann Fulton
- Sharon H. Galvin
- Janine M Gaul
- Michael Gay
- Evelyn Gerace
- Lauren Amanda Ghriga
- Viqui Haydee Gildow
All providers in University Park, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.