Organization
FAMILY MEDICAL CLINIC & LASER SKIN SOLUTIONS
Active
Organization
FAMILY MEDICAL CLINIC & LASER SKIN SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GARDNER CNP (CNP)
(740) 323-3427
Entity
Organization
Contact information
Practice address
905 N 21ST ST, NEWARK, OH 43055-7251
(740) 323-3427
Mailing address
8781 SOMERSET RD, THORNVILLE, OH 43076-9390
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN222488-COA1
OH
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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