| Doctor Name: | HERNAN JAVIER GARREAUD |
| NPI Number: | 1952472482 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 3726 |
| Business Practice Address: | 248 S 100 E Suite #4 Kanab, UT - 847413630 |
| Business Phone Number: | 4356442225 |
| Business Fax Number: | 8885426802 |
| Mailing Address: | 248 S 100 E, Suite #4 KANAB |
| State: | UT |
| Postal Code: | 847413630 |
| Phone Number: | 4356442225 |
| Fax Number: | 8885426802 |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 03/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 3726 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |