MRS. SHANNON GARDINER, PA
Physician Assistant - Surgical
Active
Individual
NPI: 1689701260
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | PA403 (ID) |
| Physician Assistant - Surgical | 363AS0400X | Yes | PA-403 (ID) |
Frequently Asked Questions
NPI 1689701260 is the National Provider Identifier for MRS. SHANNON GARDINER, PA, a Physician Assistant - Surgical provider located in Meridian, ID. This NPI was enumerated on February 28, 2007.
MRS. SHANNON GARDINER, PA practices at 875 S VANGUARD WAY STE 200, Meridian, ID 83642.
Quick Facts
- NPI
- 1689701260
- Type
- Individual
- Enumerated
- Feb 28, 2007
- Last Updated
- Apr 24, 2024
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