Individual
DR. JENNA L GANTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 352-4121
Mailing address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 352-4121
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0102203848
VA
207P00000X
Emergency Medicine Physician
Primary
DR0055331
CO
Other
Enumeration date
03/28/2011
Last updated
08/25/2015
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