Individual provider · NPI-1

Tommy L Gardner, BS, BioChemistry

Specialist/Technologist, Other, Biochemist · Santa Fe, NM

NPI number1659616787
StatusActive
Last updated in NPPESMay 24, 2021

Details

NPI
1659616787
Entity type
Individual (NPI-1)
Name
Mr. Tommy L Gardner
Credential
BS, BioChemistry
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 29, 2012
Certification date
May 24, 2021
Last updated
May 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZB0500X Specialist/Technologist, Other, Biochemist––Yes
175L00000X HomeopathexemptNM

Practice location

54 Avenida Aldea
Santa Fe, NM 87507-9449

Phone 505-919-8819

Mailing address

223 N Guadalupe St # 469
Santa Fe, NM 87501-1868

Phone 505-919-8819

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