Individual
DR. MELISSA DEANN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5744 ANTIOCH RD, MERRIAM, KS 66202-2015
(913) 362-9131
Mailing address
1507 NW 79TH TER, KANSAS CITY, MO 64118-6490
(816) 804-6336
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1507
KS
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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