Individual
DR. BLAKE ISAAC GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(435) 251-2500
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 251-2500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6803985-1205
UT
207RC0000X
Cardiovascular Disease Physician
Primary
6803985-1205
UT
207RI0011X
Interventional Cardiology Physician
6803985-1205
UT
Other
Enumeration date
12/03/2007
Last updated
01/26/2026
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