Individual
ELIZABETH GARDZIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
188 W B ST STE O, SPRINGFIELD, OR 97477-4593
(458) 234-6800
Mailing address
188 W B ST STE O, SPRINGFIELD, OR 97477-4593
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
10024870
OR
Other
Enumeration date
04/24/2024
Last updated
05/01/2024
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