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Contact Information

JOEL D GARDNER, DO
950 S MEDICAL DRIVE
BRIGHAM CITY, UT84302-3090
 Phone: 435-734-9471
 Fax: 770-701-6674
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JOEL D GARDNER · (Male)

NPI # 1942329883
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/29/2007
Last updated 10/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 8821754-1204
Hospital affiliation(s)
  • BRIGHAM CITY COMMUNITY HOSPITAL - (Acute Care)
    950 SOUTH MEDICAL DRIVE
    BRIGHAM CITY, UT 84302
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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