Individual
CHERYL LYNNE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
460 NORTH READING RD, EPHRATA, PA 17522
(717) 738-4070
(717) 738-3558
Mailing address
1142 DAWN AVENUE, EPHRATA, PA 17522
(717) 475-6126
(717) 738-3558
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
OS007516L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B63145922
—
PA
Enumeration date
07/25/2006
Last updated
07/19/2012
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