Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK L GARDNER, MD
ActiveDR. MARK L GARDNER, MD is a Cardiovascular Disease healthcare provider located in LAKEPORT, California. NPI 1811921174 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · LAKEPORT, CA
Registration Details
- NPI Number
- 1811921174
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2006 (20.117463794089 yrs)
- Last Updated
- Dec 14, 2017
- Licenses
-
ME0065785 (FL)G73337 (CA)
Practice Information
- Address
-
475 N FORBES STLAKEPORT, CA, 954534725Browse CA providers · Browse ZIP 95453
- Phone
- 7072636346
- Fax
- 7072635327
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Cardiovascular Disease
Other Cardiovascular Disease Providers in LAKEPORT, CA
| Name | Credential | NPI |
|---|---|---|
| BRADLEY TRENT CLAIR | M.D. | 1083611198 |
| JOHN REGIS MINOTTI | M.D. | 1932107828 |
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.