Individual
JARROD GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(801) 486-5012
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(801) 486-5012
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/11/2021
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