Individual
ANDREW GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8101 E LOWRY BLVD STE 230, DENVER, CO 80230-7195
(303) 344-9090
(303) 344-1922
Mailing address
8101 E LOWRY BLVD STE 230, DENVER, CO 80230-7195
(303) 344-9090
(303) 344-1922
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
102828
AK
363A00000X
Physician Assistant
Primary
PA.0004998
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102828
LICENSE
AK
Enumeration date
08/13/2015
Last updated
03/07/2023
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