Individual
DR. DENNIS LEE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 COFFEE RD, MODESTO, CA 95355-2803
(209) 526-4500
Mailing address
20600 N TRETHEWAY RD, ACAMPO, CA 95220-9751
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A049707
CA
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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