Individual
DR. KENT ERIC GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1490 E FOREMASTER DR, SUITE 350, ST GEORGE, UT 84790-4488
(435) 628-3334
(435) 628-3375
Mailing address
1490 E FOREMASTER DR, SUITE 350, ST GEORGE, UT 84790-4488
(435) 628-3334
(435) 628-3375
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
371391-1205
UT
Other
Enumeration date
08/26/2006
Last updated
10/02/2014
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