Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN KOWALLIS GARDNER, DPM
Active Sole ProprietorBRIAN KOWALLIS GARDNER, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in ROOSEVELT, Utah. NPI 1396943825 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · ROOSEVELT, UT
Registration Details
- NPI Number
- 1396943825
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2007 (19.078465023958 yrs)
- Last Updated
- May 11, 2017
- License
-
6297901-0501 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
210 W 300 NROOSEVELT, UT, 840662336Browse UT providers · Browse ZIP 84066
- Phone
- 4357226163
- Fax
- 4357229291
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
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.