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Russell Lee Garner

General Practice in Pearl Harbor, HI. Individual provider (NPI-1).

NPI number1295585271
StatusActive
Last updated in NPPESApr 7, 2026

Details

NPI
1295585271
Entity type
Individual (NPI-1)
Name
Russell Lee Garner
Sex
Male
Sole proprietor
No
Enumeration date
Mar 25, 2024
Certification date
Apr 7, 2026
Last updated
Apr 7, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice0101286694VAYes
171000000X Military Health Care Provider––

Practice location

480 Central Ave
Pearl Harbor, HI 96860-4908

Phone 808-496-3365

Mailing address

Po Box 64006
Mcbh Kaneohe Bay, HI 96863-4000

Phone 808-496-3365

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Other General Practice Physician providers in Pearl Harbor, HI

All 8 General Practice Physician providers in Pearl Harbor · All 397 providers in Pearl Harbor

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