Individual
CHARLES J GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1600 S 20TH AVE, SAFFORD, AZ 85546-4011
(928) 348-4000
Mailing address
1600 S 20TH AVENUE, SAFFORD, AZ 85546-4011
(928) 348-4021
(844) 271-2382
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/04/2017
Last updated
07/28/2022
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