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Individual

VANCE GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6 HARVEY CT, IRVINE, CA 92617-4033
(949) 854-2803
Mailing address
6 HARVEY CT, IRVINE, CA 92617-4033
(949) 854-2803

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G47571
CA

Other

Enumeration date
02/03/2014
Last updated
02/03/2014
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