Individual
CARLO GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
740 HIGH ST STE 2001, SUITE 2001, WILLIAMSPORT, PA 17701-3102
(570) 321-2800
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062850
PA
363A00000X
Physician Assistant
OA004760
PA
Other
Enumeration date
02/14/2019
Last updated
03/23/2023
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