Gene R Gardner, CRNA
NPI #1710089818 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1710089818
- Entity Type
- Individual
- Name
- Gene R Gardner, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Sep 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 605 N 12TH ST
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2857
- Phone
- (618) 241-1108
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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