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Barry Gardner, MD
General Practice Physician in Logan, Utah
NPI 1922049923

Barry Gardner is a General Practice Physician based in Salt Lake City, UT. Barry Gardner practices in Logan, UT and has the professional credentials of MD. The NPI Number for Barry Gardner is 1922049923 and holds a License No. 319532 (Utah).

The current practice location address for Barry Gardner is 1400 N 500 E, Logan, UT and can be reached out via phone at 435-716-1000.

Location: 1400 N 500 E, Logan, UT, 84125-0535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922049923
Provider Name
Barry Gardner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1400 N 500 E, Logan, UT, 84125-0535
Phone Number
435-716-1000
Fax Number
Provider Enumeration Date
06/09/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807469200 05 ID
P00393212 01 RAILROAD MEDICARE
D1618 05 UT
institution
Provider Business Practice Location Address Details
Address
1400 N 500 E
City
Logan
State
Utah
Zip
84341-2455
Phone Number
435-716-1000
Fax Number
person
Provider Business Mailing Address Details
Address
1400 N 500 E
City
Logan
State
Utah
Zip
84341-2455
Phone Number
435-716-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
319532-1205 (Utah)
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
319532 (Utah)
Definition
Definition to come...
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