| Doctor Name: | MR. LARRY WAYNE GARDNER |
| NPI Number: | 1114095437 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 3301 |
| Business Practice Address: | 143 Garden Homes Dr Colville, WA - 991149229 |
| Business Phone Number: | 5096843701 |
| Business Fax Number: | 5096845817 |
| Mailing Address: | 1200 E Columbia Ave, COLVILLE |
| State: | WA |
| Postal Code: | 991143354 |
| Phone Number: | 5096843701 |
| Fax Number: | 5096845817 |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 04/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207ND0900X |
| License Number: | 3301 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Dermatology |
| Taxonomy Specialization: | Dermatopathology |
| Taxonomy Definition: | A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |