# DAVID A GARDNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1841937778
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | O-1935 | ID | — |
| 207Q00000X | Family Medicine Physician | E-19096 | AR | Yes |
| 207Q00000X | Family Medicine Physician | MRO-2162 | ID | — |
| 207Q00000X | Family Medicine Physician | O-1935 | ID | — |

## Other

- **Enumeration date:** 05/12/2022
- **Last updated:** 03/18/2026
