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Organization

ROBERT W. GARDNER PSG-DR. GARDNER OUTPATIENT PROGRAM

Active
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Organization

ROBERT W. GARDNER PSG-DR. GARDNER OUTPATIENT PROGRAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT WILLIAM GARDNER M.D. (MEDICAL DIRECTOR)
(707) 274-9299
Entity
Organization

Contact information

Practice address
6300 E. HWY 20, LUCERNE, CA 95458
(707) 274-9299
(707) 274-9297
Mailing address
P.O. BOX 1978, LUCERNE, CA 95458
(707) 274-9299
(707) 274-9297

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
170007AP
CA

Other

Enumeration date
11/16/2009
Last updated
11/16/2009
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