Provider / Organization | NPI | Date Certified |
---|---|---|
GARRET GLEN DOCKWEILER | 1518549856 | 2024-06-09 |
Garret Glen Dockweiler is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1518549856. Registration indicates Garret Glen Dockweiler is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
Entity Type | Individual |
Provider Name | Garret Glen Dockweiler MD |
Practice Office Address | 825 CENTENNIAL DR CHADRON, NE US |
Practice Office Telephone | 3084324441 |
Mailing Address | 825 CENTENNIAL DR CHADRON, NE 693379400 US |
Business Telephone | 3084324441 |
Code | Practice | License No State |
---|---|---|
207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | BP10074685
TX |