Individual
DEE T GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 716-1000
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102205263
VA
208M00000X
Hospitalist Physician
Primary
12998394-1204
UT
Other
Enumeration date
02/10/2016
Last updated
06/01/2023
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