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Samuel D Gardner, DO
Family Medicine Physician in Salmon, Idaho
NPI 1962588111

Samuel D Gardner is a Family Medicine Physician based in Salmon, ID. Samuel D Gardner practices in Salmon, ID and has the professional credentials of DO. The NPI Number for Samuel D Gardner is 1962588111 and holds a License No. O-174 (Idaho).

The current practice location address for Samuel D Gardner is 805 Main St, Salmon, ID and can be reached out via phone at 208-756-6212 and via fax at 208-756-6336.

Location: 805 Main St, Salmon, ID, 83467-0000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962588111
Provider Name
Samuel D Gardner
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
805 Main St, Salmon, ID, 83467-0000
Phone Number
208-756-6212
Fax Number
208-756-6336
Provider Enumeration Date
10/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
804213400 05 ID
institution
Provider Business Practice Location Address Details
Address
805 Main St
City
Salmon
State
Idaho
Zip
83467-0000
Phone Number
208-756-6212
Fax Number
208-756-6336
person
Provider Business Mailing Address Details
Address
805 Main St
City
Salmon
State
Idaho
Zip
83467-0000
Phone Number
208-756-6212
Fax Number
208-756-6336
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
O-174 (Idaho)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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