Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL D GARDNER, DO
Active Sole ProprietorSAMUEL D GARDNER, DO is a Family Medicine healthcare provider located in SALMON, Idaho. NPI 1962588111 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SALMON, ID
Registration Details
- NPI Number
- 1962588111
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2006 (19.786274170337 yrs)
- Last Updated
- Sep 26, 2011
- License
-
O-174 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
805 MAIN STSALMON, ID, 834670000Browse ID providers · Browse ZIP 83467
- Phone
- 2087566212
- Fax
- 2087566336
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SALMON, ID
| Name | Credential | NPI |
|---|---|---|
| JOEL V DYE | MD | 1437149887 |
| KELLY C PHELPS | MD | 1831270073 |
| DR. LINDA J POWELL | MD | 1083776157 |
| JOSEPH JAMES KRAKKER III | D.O. | 1417397001 |
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.