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Individual

JULIE BETH GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1703 S WHITEHEAD DR, DE WITT, AR 72042-2911
(870) 946-0300
(870) 946-0303
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(870) 946-0300
(870) 946-0303

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-15010
AR
208000000X
Pediatrics Physician
E-15010
AR

Other

Enumeration date
03/29/2018
Last updated
09/27/2024
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