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Individual

DEL R GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4845 S RAINBOW BLVD STE 402, LAS VEGAS, NV 89103-4750
(702) 362-9800
Mailing address
9010 W CHEYENNE AVE, LAS VEGAS, NV 89129-8932
(702) 240-8646
(702) 240-0206

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1834
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000079452
ANTHEM, BCBS
IN
05
100544217
NV
Enumeration date
08/04/2006
Last updated
08/14/2025
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