Garrison R Weaver-gourdeau (NPI# 1619419413, PAC ID# 5597048512) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1619419413 |
| PAC ID by PECOS | 5597048512 |
| Professional Enrollment ID | I20170216001328 |
| Full Name | Garrison R Weaver-gourdeau |
| Address |
4115 S St Lakewood CA 90712-1043 |
| Phone Number | 5624081140 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4115 S St, Lakewood, CA 90712-1043 | 5624081140 |
| Street Address |
4115 S ST |
| City | LAKEWOOD |
| State | CA |
| Zip | 90712-1043 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Chiusing Hugh | Family Medicine | 3650 E S St, Suite 204, Lakewood, CA 90712-0000 | |
| Michelle M Litzinger | Chiropractic | 4115 E S St, Back To Life Chiropractic, Lakewood, CA 90712-1043 | |
| Todd Shiohama | Chiropractic | 5451 S St, Lakewood, CA 90712-1353 | |
| Scott A Gordon | Internal Medicine | Prohealth Partners, A Medical Group | 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1411 |
| Khalid Saeed | Internal Medicine | Prohealth Partners, A Medical Group | 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1411 |
| Michael N Castro | Dermatology | Prohealth Partners, A Medical Group | 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1411 |
| Cherie R Garcia | Internal Medicine | Prohealth Partners, A Medical Group | 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1411 |
| Pei L Mulroy | Family Medicine | Prohealth Partners, A Medical Group | 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1411 |
| Sherif Y Labatia | Family Medicine | Prohealth Partners, A Medical Group | 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1411 |
| Kanchana R Viswanathan | Endocrinology | Prohealth Partners, A Medical Group | 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1411 |
| Find all physicians in zip 90712 | |||
| City | LAKEWOOD |
| Zip Code | 90712 |
| Specialty | CHIROPRACTIC |
| City + Specialty | LAKEWOOD + CHIROPRACTIC |
Please comment or provide details below to improve the information on Garrison R Weaver-gourdeau.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.