Individual
DR. AARON R GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2007 E QUAIL RUN RD STE 2, EMMETT, ID 83617-5059
(208) 365-2024
(208) 365-2046
Mailing address
2007 E QUAIL RUN RD STE 2, EMMETT, ID 83617-5059
(208) 365-2024
(208) 365-2046
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1434
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1678954
MEDICARE PTAN
ID
Enumeration date
11/04/2010
Last updated
11/26/2024
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