person
Brian Kowallis Gardner, DPM
Foot & Ankle Surgery Podiatrist in Roosevelt, Utah
NPI 1396943825

Brian Kowallis Gardner is a Foot & Ankle Surgery Podiatrist based in Roosevelt, UT and is specialized in Foot & Ankle Surgery. Brian Kowallis Gardner practices in Roosevelt, UT and has the professional credentials of DPM. The NPI Number for Brian Kowallis Gardner is 1396943825 and holds a License No. 6297901-0501 (Utah).

The current practice location address for Brian Kowallis Gardner is 210 W 300 N, Roosevelt, UT and can be reached out via phone at 435-722-6163 and via fax at 435-722-9291.

Location: 210 W 300 N, Roosevelt, UT, 84066-2336
person
Provider Profile Details
NPI Number
1396943825
Provider Name
Brian Kowallis Gardner
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
210 W 300 N, Roosevelt, UT, 84066-2336
Phone Number
435-722-6163
Fax Number
435-722-9291
Provider Enumeration Date
07/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
210 W 300 N
City
State
Zip
84066-2336
Phone Number
435-722-6163
Fax Number
435-722-9291
person
Provider Business Mailing Address Details
Address
210 W 300 N
City
State
Zip
84066-2336
Phone Number
435-722-6163
Fax Number
435-722-9291
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
6297901-0501 (Utah)
Definition
Definition to come...
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