Jenna L Gantner D.O.

NPI 1699064873 - Emergency Medicine - 207P00000X

NPI Details
NPI 1699064873
Gender Female
Enumeration Date 03/28/2011
Last Updated 08/25/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
1801 16TH ST
GREELEY CO, 80631-5154, US
Phone (970) 352-4121
Fax
Business Location
1801 16TH ST
GREELEY CO, 80631-5154, US
Phone (970) 352-4121
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Virginia
License Number 0102203848
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According to our database, Dr. Jenna L Gantner D.O. NPI is 1699064873, taxonomy code is 207P00000X and license number is 0102203848, license state is located at Virginia. Jenna L Gantner D.O. physically located at 1801 16th St, Greeley CO, 80631-5154. NPI Number Jenna L Gantner D.O. has the Individual type.

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1699064873 NPI number is provided on an as is basis without warranty of any kind. 1699064873 is maintained by the National Plan & Provider Enumeration System. The contents of Jenna L Gantner D.O. are for informational purposes only.