Timothy L. Gardner, Dpm,pc

NPI 1225220379 - Podiatrist - 213ES0103X

NPI Details
NPI 1225220379
Enumeration Date 08/13/2007
Last Updated 10/17/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TIMOTHY LOGAN TIMOTHY
Position PODIATRIST
Phone (606) 248-2739
Fax (606) 248-2730
Practice Location
123 N 19TH ST
MIDDLESBORO KY, 40965-2865, US
Phone (606) 248-2739
Fax (606) 248-2730
Business Location
10810 PARKSIDE DR STE 202
KNOXVILLE TN, 37934-1981, US
Phone (865) 218-7474
Fax (865) 218-7475
Toxanomy
Taxonomy Code 213ES0103X
License State Kentucky
License Number 30924
Remove 1225220379 NPI Number
 

According to our database, Timothy L. Gardner, Dpm,pc NPI is 1225220379, taxonomy code is 213ES0103X and license number is 30924, license state is located at Kentucky. Timothy L. Gardner, Dpm,pc physically located at 123 N 19th St, Middlesboro KY, 40965-2865. NPI Number 1033115704 has the healthcare provider type.

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1225220379 NPI number is provided on an as is basis without warranty of any kind. 1225220379 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy L. Gardner, Dpm,pc are for informational purposes only.