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John Russell Gardner, MD
Emergency Medical Services (Emergency Medicine) Physician in Omaha, Nebraska
NPI 1760570972

John Russell Gardner is a Emergency Medical Services (Emergency Medicine) Physician based in Omaha, NE and is specialized in Emergency Medical Services. John Russell Gardner practices in Omaha, NE and has the professional credentials of MD. The NPI Number for John Russell Gardner is 1760570972 and holds a License No. 23872 (Nebraska).

The current practice location address for John Russell Gardner is 601 N 30Th St, Omaha, NE and can be reached out via phone at 402-449-4590.

Location: 601 N 30Th St, Omaha, NE, 68176-0210
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Provider Profile Details
NPI Number
1760570972
Provider Name
John Russell Gardner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
601 N 30Th St, Omaha, NE, 68176-0210
Phone Number
402-449-4590
Fax Number
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
34348 01 NE BCBSNE
10025121700 05 NE
252841 01 NE MIDLANDS CHOICE
institution
Provider Business Practice Location Address Details
Address
601 N 30Th St
City
State
Zip
68131-2137
Phone Number
402-449-4590
Fax Number
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Provider Business Mailing Address Details
Address
601 N 30Th St
City
State
Zip
68131-2137
Phone Number
402-449-4590
Fax Number
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
License No.
23872 (Nebraska)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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