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Individual

DR. JAMES LARIMER GARDNER JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
804 N JEFFERSON ST, NEW CASTLE, PA 16101-2164
(724) 652-3616
(724) 652-3879
Mailing address
804 N JEFFERSON ST, NEW CASTLE, PA 16101-2164
(724) 652-3616
(724) 652-3879

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD014260E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010014600002
PA
Enumeration date
06/30/2005
Last updated
07/08/2007
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