Individual
RICHARD D GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1415 6TH AVE, HUNTINGTON, WV 25701-2420
(304) 523-1142
(304) 523-2966
Mailing address
1415 6TH AVE, HUNTINGTON, WV 25701-2420
(304) 523-1142
(304) 523-2966
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
140
WV
Other
Enumeration date
03/29/2006
Last updated
07/16/2007
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