Organization
GARDNER SURGERY CENTER INC
Active
Other names
Northeast Louisiana Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID G GARDNER DPM (PRESIDENT)
(318) 322-5506
Entity
Organization
Contact information
Practice address
3101 KILPATRICK BLVD, MONROE, LA 71201-5157
(318) 322-5506
(318) 322-5916
Mailing address
3101 KILPATRICK BLVD, MONROE, LA 71201-5157
(318) 322-5506
(318) 322-5916
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
83
LA
Other
Enumeration date
09/13/2006
Last updated
08/12/2010
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