Individual
STEVEN EDWARD GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 GENESEE AVE, SAN DIEGO, CA 92123-4219
(858) 616-8091
(858) 616-8090
Mailing address
2020 GENESEE AVE, SAN DIEGO, CA 92123-4219
(858) 616-8091
(858) 616-8090
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G53689
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G53689
—
CA
Enumeration date
06/27/2005
Last updated
08/28/2014
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