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Individual

MATTHEW GARDINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
201 DOUG BAKER BLVD, BIRMINGHAM, AL 35242-2013
(205) 408-0700
Mailing address
1312 APPLEGATE DR, ALABASTER, AL 35007-8726
(620) 388-1025

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1290
AL

Other

Enumeration date
01/04/2017
Last updated
01/04/2017
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