Individual
MR. JEFF J. GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
H.A.S.
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
404279
OR
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022742
—
OR
05
—
275249
—
OR
Enumeration date
01/17/2007
Last updated
07/08/2009
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