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Individual

JORDAN GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3801 BELLEMEADE AVE STE 110, EVANSVILLE, IN 47714-0111
(812) 485-1814
Mailing address
9322 BRITTANY DR, NEWBURGH, IN 47630-3412
(801) 668-4541

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
244152
KY
213E00000X
Podiatrist
Primary
41000353A
IN

Other

Enumeration date
06/28/2016
Last updated
12/04/2020
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