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Individual

MR. JOEL D GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
950 S MEDICAL DRIVE, BRIGHAM CITY, UT 84302-3090
(435) 734-9471
(770) 701-6674
Mailing address
PO BOX 3810, SALT LAKE CITY, UT 84110-3810
(800) 594-6399
(770) 701-6674

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
8821754-1204
UT

Other

Enumeration date
03/29/2007
Last updated
10/17/2018
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