Individual
DAVID J GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
4541 TEAL LN, BURNS, WY 82053-9745
(307) 677-3664
Mailing address
4541 TEAL LN, BURNS, WY 82053-9745
(307) 677-3664
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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