Organization
KENT E GARDNER, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT E GARDNER M.D. (OWNER)
(435) 628-3334
Entity
Organization
Contact information
Practice address
1490 E FOREMASTER DR STE 350, ST GEORGE, UT 84790-4507
(435) 628-3334
(435) 628-3375
Mailing address
1490 E FOREMASTER DR STE 350, ST GEORGE, UT 84790-4507
(435) 628-3334
(435) 628-3375
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
371391-1205
UT
Other
Enumeration date
03/05/2007
Last updated
02/11/2008
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