Provider Demographics
NPI:1306894316
Name:GARTON, TONY W (PA)
Entity type:Individual
Prefix:MR
First Name:TONY
Middle Name:W
Last Name:GARTON
Suffix:
Gender:M
Credentials:PA
Other - Prefix:DR
Other - First Name:DAVID
Other - Middle Name:
Other - Last Name:BETHEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1515 W PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:50138-3354
Mailing Address - Country:US
Mailing Address - Phone:641-842-3101
Mailing Address - Fax:641-828-5109
Practice Address - Street 1:1515 W PLEASANT ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:IA
Practice Address - Zip Code:50138-3354
Practice Address - Country:US
Practice Address - Phone:641-842-3101
Practice Address - Fax:641-828-5109
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA000945363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical