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Individual

DR. DAVID G GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3101 KILPATRICK BLVD, MONROE, LA 71201-5157
(318) 322-5506
(318) 322-5916
Mailing address
3101 KILPATRICK BLVD, MONROE, LA 71201-5157
(318) 322-5506
(318) 322-5916

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PD221R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1484997
LA
Enumeration date
03/14/2006
Last updated
06/29/2010
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