Individual
THOMAS A GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 BARNHILL DR, RT 420, INDIANAPOLIS, IN 46202-5112
(317) 278-3434
(317) 274-0174
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01051214A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000109044
ANTHEM PIN
IN
05
—
200241600
—
IN
Enumeration date
09/19/2005
Last updated
03/08/2025
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