Individual
ANDREW ELLIS GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15812 E INDIANA AVE, SPOKANE VALLEY, WA 99216-1875
(509) 444-8200
Mailing address
15812 E INDIANA AVE, SPOKANE VALLEY, WA 99216-1875
(509) 444-8200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61395632
WA
207R00000X
Internal Medicine Physician
M-14830
ID
Other
Enumeration date
03/25/2016
Last updated
06/22/2023
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