Individual
MR. EDMUND S GARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4081 GLADES PIKE, STE 100, SOMERSET, PA 15501
(814) 444-1770
(814) 444-0909
Mailing address
4081 GLADES PIKE, STE 100, SOMERSET, PA 15501
(814) 444-1770
(814) 444-0909
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC001751L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008810940002
—
PA
01
—
035342
HIGHMARK BCBS
PA
01
—
216980
UPMC
PA
Enumeration date
01/26/2006
Last updated
07/08/2007
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