Individual
DR. JOHN C. GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 TRIEBLE RD, TUNKHANNOCK, PA 18657
(570) 996-2700
(570) 996-2711
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD029501E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001008139
—
PA
Enumeration date
03/08/2006
Last updated
05/19/2008
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