Individual
MARA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2310 E BROWN RD, MESA, AZ 85213-5226
(480) 649-9000
Mailing address
2310 E BROWN RD, MESA, AZ 85213-5226
(480) 649-9000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4822
AZ
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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