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 12 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.

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.