Individual
MR. RONALD SHEARER GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 13TH AVE E, POLSON, MT 59860-5315
(406) 883-5680
(406) 883-8910
Mailing address
PO BOX 1010, POLSON, MT 59860-1010
(406) 883-5680
(406) 883-8910
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12233
MT
208600000X
Surgery Physician
5117A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107193900
—
WY
01
—
5117A
PHYSICIAN LICENSE
WY
Enumeration date
07/14/2006
Last updated
07/17/2013
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