Individual
DR. IVY HERNANDEZ GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2725 CAPITOL AVE DEPT 402, SACRAMENTO, CA 95816-6032
(916) 262-9500
(916) 262-9502
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
A185167
CA
Other
Enumeration date
04/05/2016
Last updated
08/29/2024
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