Individual
JAMES L GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2825 ALBERT PIKE RD, HOT SPRINGS, AR 71913-2619
(501) 767-9111
(501) 767-3433
Mailing address
PO BOX 21850, HOT SPRINGS, AR 71903-1850
(501) 627-1800
(501) 627-1899
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C4714
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102371001
—
AR
Enumeration date
08/11/2005
Last updated
06/28/2016
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