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Lee S Gardner, PA-C
Medical Physician Assistant in Idaho Falls, Idaho
NPI 1063589612

Lee S Gardner is a Medical Physician Assistant based in Idaho Falls, ID and is specialized in Medical. Lee S Gardner practices in Idaho Falls, ID and has the professional credentials of PA-C. The NPI Number for Lee S Gardner is 1063589612 and holds a License No. PA-359 (Idaho).

The current practice location address for Lee S Gardner is 2725 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-525-8448 and via fax at 208-525-8118. You can also correspond with Lee S Gardner through the mailing address at 2725 CHANNING WAY, IDAHO FALLS, ID - 83404-7510 (mailing address contact number: 208-525-8448).

Location: 2725 Channing Way, Idaho Falls, ID, 83404-7510
person
Provider Profile Details
NPI Number
1063589612
Provider Name
Lee S Gardner
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2725 Channing Way, Idaho Falls, ID, 83404-7510
Phone Number
208-525-8448
Fax Number
208-525-8118
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2725 Channing Way
City
State
Zip
83404-7510
Phone Number
208-525-8448
Fax Number
208-525-8118
person
Provider Business Mailing Address Details
Address
2725 Channing Way
City
State
Zip
83404-7510
Phone Number
208-525-8448
Fax Number
208-525-8118
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-359 (Idaho)
Definition
Definition to come...
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