Individual
GARETH LANCE GARDINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2825 STOCKYARD RD STE I-200, MISSOULA, MT 59808-1548
(406) 728-8420
(406) 541-8430
Mailing address
200 HAWKINS DR DEPT OF, IOWA CITY, IA 52242-1009
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MED-PHYS-LIC-97106
MT
207L00000X
Anesthesiology Physician
R-10965
IA
Other
Enumeration date
06/07/2017
Last updated
06/15/2021
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