Individual
DR. LANCE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6544 W THOMAS RD, SUITE 37, PHOENIX, AZ 85033-5738
(623) 849-1188
Mailing address
6544 W THOMAS RD, SUITE 37, PHOENIX, AZ 85033-5738
(623) 849-1188
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7330
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0941900
BCBS ID NUMBER
AZ
Enumeration date
01/15/2007
Last updated
08/23/2007
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