Ric S Garrison


Address: 41210 11th St W, Suite C, Palmdale, CA 93551-1447
Phone: 6619477100

Ric S Garrison (NPI# 1295814408, PAC ID# 6002979580) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1295814408
PAC ID by PECOS 6002979580
Professional Enrollment ID I20100712000069
Full Name Ric S Garrison
Address 41210 11th St W
Suite C
Palmdale
CA 93551-1447
Phone Number 6619477100
Gender M
Medical School OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1982
Primary Specialty FAMILY MEDICINE
Secondary Specialties GENERAL PRACTICE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050204 PALMDALE REGIONAL MEDICAL CENTER
050056 ANTELOPE VALLEY HOSPITAL

Other Locations

Address Phone Organization
41210 11th St W, Suite C, Palmdale, CA 93551-1447 6619477100

Organization Information

Office Location

Street Address 41210 11TH ST W
SUITE C
City PALMDALE
State CA
Zip 93551-1447

Physicians in the same location

Name Specialty Organization Address
Emmanuel O Emenike Internal Medicine 41210 11th St W, Suite K, Palmdale, CA 93551-1447

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Robert M Jackson Otolaryngology 41250 12th W St C, Palmdale, CA 93551-1444
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Competitor

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City PALMDALE
Zip Code 93551
Specialty FAMILY MEDICINE
City + Specialty PALMDALE + FAMILY MEDICINE

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Dataset Information

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.

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