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Contact Information

THOMAS L GARDNER, MD
1034 NORTH 500 WEST
UTAH VALLEY REGIONAL MEDICAL CENTER
PROVO, UT84604
 Phone: 801-507-5248
 Fax: 801-733-5618
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for THOMAS L GARDNER · (Male)

NPI Number 1396836375
Status Active
Credentials MD
Entity Individual
Enumeration date 09/27/2006
Last updated 10/16/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 363811-1205
  • AZ Medicaid 772659
  • ID Medicaid 806156600
  • NV Medicaid 002082157
  • WY Medicaid 118322200
  • UT Other QM0000075886 ALTIUS
  • UT Other 36381112001001 BCBS
  • UT Other 682520 DESERET MUTUAL
  • UT Other 870545614GAR EDUCATORS MUTUAL
  • UT Other 79086 HEALTHY U
  • UT Other 107008344102 IHC
  • UT Other PRA05966 MOLINA
  • UT Other 64482 PEHP
  • UT Other 1502954 UMWA
Hospital affiliation(s)
  • UTAH VALLEY REGIONAL MEDICAL CENTER - (Acute Care)
    1034 NORTH 500 WEST
    PROVO, UT 84604
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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