Individual
THOMAS F GARDINER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6000 KANAKANAK ROAD, BBAHC, DILLINGHAM, AK 99576
(907) 842-1230
(907) 842-5174
Mailing address
PO BOX 130, BBAHC, DILLINGHAM, AK 99576-0130
(907) 842-1230
(907) 842-5174
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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