Individual
DR. ELLEN F GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 SOUTH 4200 WEST, PAROWAN, UT 84761
(435) 477-0133
(435) 477-0143
Mailing address
PO BOX 1330, 200 SOUTH 4200 WEST, PAROWAN, UT 84761-1330
(435) 477-0133
(435) 477-0143
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
881786891205
UT
Other
Enumeration date
07/25/2006
Last updated
01/16/2014
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