Individual
DANIEL JAE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 GREAT PLAINS LOOP, ARAPAHOE, WY 82510-8903
(307) 856-8090
Mailing address
PO BOX 1062, RIVERTON, WY 82501-0119
(307) 856-8090
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
199
WY
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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