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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GABRIEL CARDENAS JR., D.P.M.

Active Sole Proprietor

DR. GABRIEL CARDENAS JR., D.P.M. is a Foot & Ankle Surgery Podiatrist healthcare provider located in MARYVILLE, Illinois. NPI 1043521719 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · MARYVILLE, IL

Registration Details

NPI Number
1043521719
Provider Type
Individual
Gender
Male
NPI Issued
Jun 28, 2010 (16.096314384899 yrs)
Last Updated
Nov 17, 2016
Licenses
2010021578 (MO)
016.005608 (IL)
Sole Proprietor
Yes

Practice Information

Address
6810 STATE ROUTE 162
SUITE 20
MARYVILLE, IL, 620628587
Browse IL providers · Browse ZIP 62062
Phone
6182882835
Fax
6182886162
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in MARYVILLE, IL

Name Credential NPI
LOUIS AQUINO DPM 1417944653
DR. DAVID W KINSCHERFF DPM 1942280789
YVONNE ELAINE BAUMRUCKER DPM 1134749088
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.