Lee S Gardner, P.A.-C
NPI #1063589612 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1063589612
- Entity Type
- Individual
- Name
- Lee S Gardner, P.A.-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- P.A.-C
- Enumeration Date
- Nov 29, 2006
- Last Updated
- Dec 7, 2009
Practice Location
- Address
- 2725 CHANNING WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7510
- Phone
- (208) 525-8448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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