Richard D Gardner, PA-C

NPI #1770544967 in Huntington, West Virginia

Provider Information

NPI Number: 1770544967
Entity Type: Individual
Name: Richard D Gardner, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 29, 2006
Last Updated: Jul 16, 2007

Practice Location

Address: 1415 6TH AVE
City: Huntington
State: West Virginia
ZIP Code: 25701-2420
Phone: (304) 523-1142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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