person
Casey J Gardner, PAC
Medical Physician Assistant in Durango, Colorado
NPI 1629059878

Casey J Gardner is a Medical Physician Assistant based in Durango, CO and is specialized in Medical. Casey J Gardner practices in Durango, CO and has the professional credentials of PAC. The NPI Number for Casey J Gardner is 1629059878 and holds a License No. 10000672A (Colorado).

The current practice location address for Casey J Gardner is 575 Rivergate Ln Unit 105, Durango, CO and can be reached out via phone at 970-259-3020 and via fax at 970-259-9766.

Location: 575 Rivergate Ln Unit 105, Durango, CO, 81301-7490
person
Provider Profile Details
NPI Number
1629059878
Provider Name
Casey J Gardner
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
575 Rivergate Ln Unit 105, Durango, CO, 81301-7490
Phone Number
970-259-3020
Fax Number
970-259-9766
Provider Enumeration Date
11/07/2005
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
151020TTTT 01 IN MEDICARE PTAN NUMBER
151020 01 CO MEDICARE PTAN
9000178409 05 CO
P00841261 01 IN RAILROAD MEDICARE PTAN NUMBER
institution
Provider Business Practice Location Address Details
Address
575 Rivergate Ln Unit 105
City
State
Zip
81301-7490
Phone Number
970-259-3020
Fax Number
970-259-9766
person
Provider Business Mailing Address Details
Address
575 Rivergate Ln Unit 105
City
State
Zip
81301-7490
Phone Number
970-259-3020
Fax Number
970-259-9766
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0003579 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
10000672A (Indiana)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.