Dr. Kent Eric Gardner, M.D.
Otolaryngology, Facial Plastic Surgery in St George, UT. Individual provider (NPI-1).
NPI number1881702355
StatusActive
Last updated in NPPESOct 2, 2014
Details
- NPI
- 1881702355
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kent Eric Gardner
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 26, 2006
- Last updated
- Oct 2, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207YS0123X | Otolaryngology, Facial Plastic Surgery | 371391-1205 | UT | Yes |
Practice location
1490 E Foremaster DrSuite 350
St George, UT 84790-4488
Phone 435-628-3334 · Fax 435-628-3375
Mailing address
1490 E Foremaster DrSuite 350
St George, UT 84790-4488
Phone 435-628-3334 · Fax 435-628-3375
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