Individual
DR. FREDA EVA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 ORION PL, LONGMONT, CO 80504-8836
(720) 340-4293
Mailing address
1611 ORION PL, LONGMONT, CO 80504-8836
(720) 340-4293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00045867
WA
Other
Enumeration date
09/29/2005
Last updated
10/25/2011
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