Individual
COREY GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 174TH ST NE, MARYSVILLE, WA 98271-4743
(360) 454-1900
(360) 454-1991
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(360) 454-1900
(360) 454-1991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60834036
WA
207Q00000X
Family Medicine Physician
PGY.202749
LA
Other
Enumeration date
07/07/2015
Last updated
09/11/2020
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