ROBERT W GARDNER, Addiction Medicine LUCERNE, CA

Contact Information

ROBERT W GARDNER

6300 E. HWY 20
LUCERNE, CA 95458

Phone: 707-274-9299
Fax: 707-274-9297
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Addiction Medicine	207QA0401X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for ROBERT W GARDNER · (Male)

NPI #	`1023183829`
Status	Active
Credentials
Entity	Individual
Enumeration date	11/21/2006
Last updated	11/01/2012 - About 14 years ago
Sole proprietor ¹	Yes
Identifiers	CA License # G30366 CA Medicaid 00G303660
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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