MR. Keith J Gardner, A.T.C.
NPI #1336364124 in Roswell, New Mexico
Provider Information
- NPI Number
- 1336364124
- Entity Type
- Individual
- Name
- MR. Keith J Gardner, A.T.C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- A.T.C.
- Enumeration Date
- Apr 16, 2007
- Last Updated
- Oct 15, 2008
Practice Location
- Address
- 113 E COLLEGE BLVD
- City
- Roswell
- State
- New Mexico
- ZIP Code
- 88201-5158
- Phone
- (575) 622-6500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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