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

LEE S GARDNER, P.A.-C

Active

LEE S GARDNER, P.A.-C is a Medical Physician Assistant healthcare provider located in IDAHO FALLS, Idaho. NPI 1063589612 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · IDAHO FALLS, ID

Registration Details

NPI Number
1063589612
Provider Type
Individual
Gender
Male
NPI Issued
Nov 29, 2006 (19.752640151758 yrs)
Last Updated
Dec 7, 2009
License
PA-359 (ID)

Practice Information

Address
2725 CHANNING WAY
IDAHO FALLS, ID, 834047510
Browse ID providers · Browse ZIP 83404
Phone
2085258448
Fax
2085258118
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in IDAHO FALLS, ID

Name Credential NPI
MS. JAMIE L CARTER PAC 1851396519
BRIAN DAVID MILLER PA-C BS 1861483455
WADE K CHRISTENSEN P.A. 1386626463
JAMES TYLER CHRISTENSEN PA 1578540498
MS. STEPHANIE MORGAN PA 1316910797
LAURA A TABOR P.A. 1538121322
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.