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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

BLAKE I GARDNER, MD
1380 E MEDICAL CENTER DR
STE 4100
SAINT GEORGE, UT84790-2123
 Phone: 435-251-2900
 Fax: 435-251-2901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 06 Physician/Cardiovascular Disease (Cardiology)
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BLAKE I GARDNER · (Male)

NPI Number 1134301997
Credentials MD
Entity Individual
Enumeration date 12/03/2007
Last updated 03/25/2015 - More than a year ago
Sole proprietor 1 No
Identifiers
UT License # 6803985-1205
Hospital affiliation(s)
  • BEAVER VALLEY HOSPITAL - (Acute Care)
    1109 NORTH 100 WEST
    BEAVER, UT 84713
  • DIXIE REGIONAL MEDICAL CENTER - (Acute Care)
    1380 EAST MEDICAL CENTER DRIVE
    ST GEORGE, UT 84790
  • INTERMOUNTAIN MEDICAL CENTER - (Acute Care)
    5121 SOUTH COTTONWOOD STREET
    MURRAY, UT 84107
  • MESA VIEW REGIONAL HOSPITAL - (Critical Access)
    1299 BERTHA HOWE AVENUE
    MESQUITE, NV 89027
  • VALLEY VIEW MEDICAL CENTER - (Acute Care)
    1303 NORTH MAIN STREET
    CEDAR CITY, UT 84721
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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