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Organization

PHILIP A GARDNER MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILIP A GARDNER MD (PRESIDENT)
(985) 590-5422
Entity
Organization

Contact information

Practice address
915 SOUTH HARRISON STREET, COVINGTON, LA 70433-3321
(985) 590-5422
(985) 590-5423
Mailing address
915 SOUTH HARRISON STREET, COVINGTON, LA 70433-3321
(985) 590-5422
(985) 590-5423

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
03988R
LA

Other

Enumeration date
04/29/2010
Last updated
04/29/2010
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