Individual
MARK GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1599 N HERMITAGE RD, HERMITAGE, PA 16148-3180
(724) 962-9622
(724) 962-6027
Mailing address
1599 N HERMITAGE RD, HERMITAGE, PA 16148-3180
(724) 962-9622
(724) 962-6027
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS015227
PA
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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