Gardner & Gardner, Pa

NPI 1477551794 - Family Medicine - 207Q00000X

NPI Details
NPI 1477551794
Enumeration Date 07/11/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JIM JIM
Position PRESIDENT
Phone (208) 983-3000
Fax (208) 983-9276
Practice Location
203 N A ST
GRANGEVILLE ID, 83530-1201, US
Phone (208) 983-3000
Fax (208) 983-9276
Business Location
203 N A ST
GRANGEVILLE ID, 83530-1201, US
Phone (208) 983-3000
Fax (208) 983-9276
Toxanomy
Taxonomy Code 207Q00000X
License State Idaho
License Number M6671
Remove 1477551794 NPI Number
 

According to our database, Gardner & Gardner, Pa NPI is 1477551794, taxonomy code is 207Q00000X and license number is M6671, license state is located at Idaho. Gardner & Gardner, Pa physically located at 203 N A St, Grangeville ID, 83530-1201. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1477551794 NPI number is provided on an as is basis without warranty of any kind. 1477551794 is maintained by the National Plan & Provider Enumeration System. The contents of Gardner & Gardner, Pa are for informational purposes only.