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Individual

MR. BEN D GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
1100 EASTSIDE ST SE, OLYMPIA, WA 98501-7304
(360) 943-5127
(360) 754-2516
Mailing address
1100 EASTSIDE ST SE, OLYMPIA, WA 98501-7304
(360) 943-5127
(360) 754-2516

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN00158155
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30007002
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9645300
WA
Enumeration date
06/08/2006
Last updated
11/12/2014
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