Provider Demographics
NPI:1316130339
Name:MINDI S. GARNER, DO, CHARTERED
Entity type:Organization
Organization Name:MINDI S. GARNER, DO, CHARTERED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MINDI
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:620-232-7900
Mailing Address - Street 1:127 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762-3801
Mailing Address - Country:US
Mailing Address - Phone:620-232-7900
Mailing Address - Fax:620-232-7901
Practice Address - Street 1:127 W 5TH ST
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-3801
Practice Address - Country:US
Practice Address - Phone:620-232-7900
Practice Address - Fax:620-232-7901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0529478207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty