Individual
DR. GENA MATHEWS GARDINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17701 EDISON AVE, SUITE 101, CHESTERFIELD, MO 63005-1266
(636) 735-4122
(636) 735-4123
Mailing address
17701 EDISON AVE, SUITE 101, CHESTERFIELD, MO 63005-1266
(636) 735-4122
(636) 735-4123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16872
OK
207Q00000X
Family Medicine Physician
Primary
R8G73
MO
Other
Enumeration date
06/27/2006
Last updated
09/21/2016
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