Scott C Gardner PA-C

NPI 1720192966 - Physician Assistant - 363A00000X

NPI Details
NPI 1720192966
Gender Male
Enumeration Date 08/17/2006
Last Updated 09/03/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
4313 BULLFROG DRIVE
HWY 276 NPS/DRO
LAKE POWELL UT, 84533-4313, US
Phone (435) 684-2288
Fax (435) 684-2239
Business Location
5265 S HILLSDEN DR
HOLLADAY UT, 84117-7167, US
Phone (801) 265-9128
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Utah
License Number 333705-1206
Remove 1720192966 NPI Number
 

According to our database, Scott C Gardner PA-C NPI is 1720192966, taxonomy code is 363A00000X and license number is 333705-1206, license state is located at Utah. Scott C Gardner PA-C physically located at 4313 Bullfrog Drive, Lake Powell UT, 84533-4313. NPI Number Scott C Gardner PA-C has the Individual type.

Sponsored links

1720192966 NPI number is provided on an as is basis without warranty of any kind. 1720192966 is maintained by the National Plan & Provider Enumeration System. The contents of Scott C Gardner PA-C are for informational purposes only.