Organization Name: | RICHARD P GARDNER MD PSC |
NPI Number: | 1437341419 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD P GARDNER (OWNER) |
Mailing Address: | 1919 State St Ste 240 New Albany |
State: | IN US |
Postal Code: | 471506804 |
Phone Number: | 8129482246 |
Fax Number: | 8129446172 |
NPI Enumeration Date: | 08/14/2007 |
NPI Last Update Date: | 12/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 01023879 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |