Provider Demographics
NPI:1588686992
Name:GARMAN, EDWARD TODD (MD)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:TODD
Last Name:GARMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 W 5TH AVE STE 421
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2841
Mailing Address - Country:US
Mailing Address - Phone:509-747-6951
Mailing Address - Fax:509-747-6956
Practice Address - Street 1:801 W 5TH AVE STE 421
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2841
Practice Address - Country:US
Practice Address - Phone:509-747-6951
Practice Address - Fax:509-747-6956
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00034686207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1100486Medicaid
WAP00283586OtherRAILROAD MEDICARE
WA0115277OtherLABOR & INDUSTRIES
WA1100486Medicaid