Gary Roscoe Gardner D.C

NPI 1083620041 - Chiropractor - 111N00000X

NPI Details
NPI 1083620041
Gender Male
Enumeration Date 07/31/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
13106 SHELBYVILLE RD
LOUISVILLE KY, 40243-1572, US
Phone (502) 253-0025
Fax (502) 253-9933
Business Location
5213 WINDY WILLOW DR
LOUISVILLE KY, 40241-1360, US
Phone (502) 241-6730
Fax (502) 253-9933
Toxanomy
Taxonomy Code 111N00000X
License State Kentucky
License Number 4707
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According to our database, Dr. Gary Roscoe Gardner D.C NPI is 1083620041, taxonomy code is 111N00000X and license number is 4707, license state is located at Kentucky. Gary Roscoe Gardner D.C physically located at 13106 Shelbyville Rd, Louisville KY, 40243-1572. NPI Number Gary Roscoe Gardner D.C has the Individual type.

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1083620041 NPI number is provided on an as is basis without warranty of any kind. 1083620041 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Roscoe Gardner D.C are for informational purposes only.