Gardner Immunization Clinic

NPI #1952571739 in Gardner, Kansas

Provider Information

NPI Number: 1952571739
Entity Type: Organization
Organization Name: Gardner Immunization Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: BOYAJIAN,INC
Primary Specialty: Allergy & Immunology
Enumeration Date: Mar 7, 2008
Last Updated: Mar 7, 2008

Practice Location

Address: 131 E MAIN ST
Address 2: SUITE 101
City: Gardner
State: Kansas
ZIP Code: 66030-1309
Phone: (913) 856-8106

Authorized Official

Name: SAM HAROLD BOYAJIAN
Title: OWNER
Phone: (913) 856-8106

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X	Primary

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