Organization
CLOVIS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY TODD GARDNER MD (SECRETARY OWNER)
(559) 299-7294
Entity
Organization
Contact information
Practice address
221 W FIR AVE, SUITE 101, CLOVIS, CA 93611-0223
(559) 299-7294
(559) 299-0641
Mailing address
221 W FIR AVE, SUITE 101, CLOVIS, CA 93611-0223
(559) 299-7294
(559) 299-0641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/28/2006
Last updated
03/14/2008
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