Doctor Name: | DR. RODDY ARNOLD GARDNER |
NPI Number: | 1336244409 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 975 |
Business Practice Address: | 910 S Priest Dr Tempe, AZ - 852815233 |
Business Phone Number: | 4809677821 |
Business Fax Number: | 4809671247 |
Mailing Address: | 910 S Priest Dr, TEMPE |
State: | AZ |
Postal Code: | 852815233 |
Phone Number: | 4809677821 |
Fax Number: | 4809671247 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 975 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |