George Glenn Gardner, PA-C

NPI #1386885648 in Adrian, Missouri

Provider Information

NPI Number: 1386885648
Entity Type: Individual
Name: George Glenn Gardner, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 17, 2009
Last Updated: Aug 1, 2011

Practice Location

Address: 102 E. MAIN ST
City: Adrian
State: Missouri
ZIP Code: 64720-9207
Phone: (816) 297-2640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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