SAMUEL GARDNER, DO
Family Medicine
Active
Individual
NPI: 1962588111
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | O-174 (ID) |
Frequently Asked Questions
NPI 1962588111 is the National Provider Identifier for SAMUEL GARDNER, DO, a Family Medicine provider located in Salmon, ID. This NPI was enumerated on October 31, 2006.
SAMUEL GARDNER, DO practices at 805 MAIN ST, Salmon, ID 83467.
Quick Facts
- NPI
- 1962588111
- Type
- Individual
- Enumerated
- Oct 31, 2006
- Last Updated
- Sep 26, 2011
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