Individual
MR. JOHN PATRICK GARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR, CHT
Contact information
Practice address
4301 THATCHER AVE, PUEBLO, CO 81005-1036
(719) 565-2002
(719) 564-7776
Mailing address
4301 THATCHER AVE, PUEBLO, CO 81005-1036
(719) 565-2002
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
984839
CO
Other
Enumeration date
04/10/2007
Last updated
12/07/2018
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