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Robert William Gardner
Addiction Medicine (Family Medicine) Physician in Lucerne, California
NPI 1023183829

Robert William Gardner is an Addiction Medicine (Family Medicine) Physician based in Clearlake Oaks, CA and is specialized in Addiction Medicine. Robert William Gardner practices in Lucerne, CA. The NPI Number for Robert William Gardner is 1023183829 and holds a License No. G30366 (California).

The current practice location address for Robert William Gardner is 6300 E. Hwy 20, Lucerne, CA and can be reached out via phone at 707-274-9299 and via fax at 707-274-9297.

Location: 6300 E. Hwy 20, Lucerne, CA, 95423-7050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023183829
Provider Name
Robert William Gardner
Credential
Provider Entity Type
Individual
Gender
Male
Address
6300 E. Hwy 20, Lucerne, CA, 95423-7050
Phone Number
707-274-9299
Fax Number
707-274-9297
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G303660 05 CA
institution
Provider Business Practice Location Address Details
Address
6300 E. Hwy 20
City
Lucerne
State
California
Zip
95458
Phone Number
707-274-9299
Fax Number
707-274-9297
person
Provider Business Mailing Address Details
Address
6300 E. Hwy 20
City
Lucerne
State
California
Zip
95458
Phone Number
707-274-9299
Fax Number
707-274-9297
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
G30366 (California)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
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