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Individual

MRS. ABBY MARIE GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1300 E MULLAN AVE STE 1800, POST FALLS, ID 83854-6052
(208) 625-3700
Mailing address
1300 E MULLAN AVE STE 1800, POST FALLS, ID 83854-4855
(208) 625-3700
(208) 625-3701

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-15108
ID
207R00000X
Internal Medicine Physician
Q8063
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
362073401
TX
01
8FX748
BCBS
TX
01
P01802221
RAILROAD MEDICARE
TX
Enumeration date
03/27/2013
Last updated
03/17/2025
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