Maurice R Gardner Dpm PA

NPI #1902954522 in Lewiston, Maine

Provider Information

NPI Number: 1902954522
Entity Type: Organization
Organization Name: Maurice R Gardner Dpm PA
Primary Specialty: Podiatrist
Enumeration Date: Jan 8, 2007
Last Updated: Jun 23, 2008

Practice Location

Address: 681 SABATTUS ST
City: Lewiston
State: Maine
ZIP Code: 04240-3829
Phone: (207) 784-2042

Authorized Official

Name: MAURICE R. GARDNER, DPM
Title: OWNER
Phone: (207) 784-2042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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