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Individual
THOMAS L GARDNER
Active
Individual
THOMAS L GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
363811-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002082157
—
NV
01
—
107008344102
IHC
UT
05
—
118322200
—
WY
01
—
1502954
UMWA
UT
01
—
36381112001001
BCBS
UT
01
—
64482
PEHP
UT
01
—
682520
DESERET MUTUAL
UT
05
—
772659
—
AZ
01
—
79086
HEALTHY U
UT
05
—
806156600
—
ID
01
—
870545614GAR
EDUCATORS MUTUAL
UT
01
—
PRA05966
MOLINA
UT
01
—
QM0000075886
ALTIUS
UT
Enumeration date
09/27/2006
Last updated
10/16/2012
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