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Individual
BARRY GARDNER
Active
Individual
BARRY GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
319532
UT
208D00000X
General Practice Physician
Primary
319532-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807469200
—
ID
05
—
D1618
—
UT
01
—
P00393212
RAILROAD MEDICARE
—
Enumeration date
06/09/2006
Last updated
03/13/2024
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