Individual
ERIC J. GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 W 42ND ST, SUITE 120, SCOTTSBLUFF, NE 69361-0617
(308) 635-1414
(308) 635-1913
Mailing address
2 W 42ND ST, SUITE 120, SCOTTSBLUFF, NE 69361-0617
(308) 635-1414
(308) 635-1913
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
26457
NE
Other
Enumeration date
06/19/2006
Last updated
08/13/2012
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