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Individual

JOEL R GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
888 SWIFT BLVD, RICHLAND, WA 99352-3514
(509) 946-4611
Mailing address
122 S 41ST ST APT 2, YAKIMA, WA 98901-1405
(253) 355-2743

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60863591
WA
363A00000X
Physician Assistant
OR
363A00000X
Physician Assistant

Other

Enumeration date
08/07/2018
Last updated
07/09/2025
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