Organization
LYNNELL P GARDNER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNELL P GARDNER MD (OWNER PRESIDENT)
(520) 298-2313
Entity
Organization
Contact information
Practice address
6761 E TANQUE VERDE RD, SUITE 6, TUCSON, AZ 85715-5323
(520) 298-2313
(520) 298-1554
Mailing address
PO BOX 43100, TUCSON, AZ 85733-3100
(520) 722-3777
(520) 296-6224
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
18444
AZ
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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