Ricky Lane Gardner, MD

NPI #1588892954 in Tremonton, Utah

Provider Information

NPI Number: 1588892954
Entity Type: Individual
Name: Ricky Lane Gardner, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 24, 2009
Last Updated: Sep 29, 2021

Practice Location

Address: 935 N 1000 W
City: Tremonton
State: Utah
ZIP Code: 84337-9356
Phone: (435) 207-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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