Individual
JOSHUA GARDINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, LAT, ATC
Contact information
Practice address
2200 BONFORTE BLVD, PUEBLO, CO 81001-4901
(720) 737-4856
Mailing address
2824 AIRPORT RD APT 119, COLORADO SPRINGS, CO 80910-3007
(518) 256-5507
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
AT.0002391
CO
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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