# S AURORA GARDNER M D LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** S. Aurora Gardner, M.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154494862
- **Authorized official:** DR. S. AURORA GARDNER M.D. (SOLE OWNER)
- **Authorized official phone:** (765) 827-6612

## Contact information

- **Practice address:** 1473 E STATE ROAD 44 STE 4, CONNERSVILLE, IN 47331-8292
- **Practice address phone:** (765) 827-6612
- **Practice address fax:** (765) 827-6910
- **Mailing address:** 1473 E STATE ROAD 44 STE 4, CONNERSVILLE, IN 47331-8292
- **Mailing address phone:** (765) 827-6612
- **Mailing address fax:** (765) 827-6910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01041571 | IN | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 11/13/2007