Individual
JAMES WILLIAM GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3025 W CHERRY LN STE A, MERIDIAN, ID 83642-8531
(208) 302-7100
(208) 302-7155
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 302-7100
(208) 302-7155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M6671
ID
207Q00000X
Family Medicine Physician
MD216301
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003703700
—
ID
05
—
1132570
—
ID
Enumeration date
10/05/2006
Last updated
01/05/2026
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