Provider Demographics
NPI:1447322292
Name:GARLEY, DEBRA C (MD)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:C
Last Name:GARLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:LEE
Other - Last Name:CHOQUETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:265 COHASSET RD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2273
Mailing Address - Country:US
Mailing Address - Phone:530-893-2323
Mailing Address - Fax:530-894-0935
Practice Address - Street 1:265 COHASSET RD
Practice Address - Street 2:SUITE 170
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2273
Practice Address - Country:US
Practice Address - Phone:530-893-2323
Practice Address - Fax:530-894-0935
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG65948207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1447322292Medicaid
CA00G659480Medicare PIN
CA1447322292Medicaid