Individual
DR. JOHN WILLARD GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5805 DIMES RD, DERWOOD, MD 20855-1728
(301) 294-0204
Mailing address
5805 DIMES RD, DERWOOD, MD 20855-1728
(301) 294-0204
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
D0031427
MD
Other
Enumeration date
07/18/2010
Last updated
07/18/2010
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