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Todd Gardner

Pediatrics in Gilbert, AZ. Individual provider (NPI-1).

NPI number1982124194
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1982124194
Entity type
Individual (NPI-1)
Name
Todd Gardner
Sex
Male
Sole proprietor
No
Enumeration date
Jun 20, 2017
Certification date
Dec 10, 2020
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics008462AZYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

2550 E Guadalupe Rd
Gilbert, AZ 85234-5114

Phone 602-933-4395 · Fax 602-933-8958

Mailing address

3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327

Phone 602-933-1814 · Fax 602-933-8972

Other practice locations

2550 E Guadalupe Rd Ste 115
Gilbert, AZ 85234-5114

Phone 602-933-4395

982185 Nebraska Medical Ctr
Omaha, NE 68198-2185

Phone 402-559-5380 · Fax 402-559-5137

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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