Individual
JUSTIN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5295 S COMMERCE DR STE 550, MURRAY, UT 84107-4736
(801) 313-4110
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10128860-1206
UT
363AS0400X
Surgical Physician Assistant
—
TX
Other
Enumeration date
08/28/2015
Last updated
08/19/2025
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