Individual
DR. JOE A GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N MAIN ST, MOUNT VERNON, MO 65712-1004
(417) 466-0137
Mailing address
600 N MAIN ST, MOUNT VERNON, MO 65712-1004
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
29674
MO
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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