LEE S GARDNER

IDAHO FALLS, ID
NPI1063589612
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: ID  PA-359)
Enumeration Date2006-11-29
Last Update Date2009-12-07
Business Address
LEE S GARDNER P.A.-C
2725 CHANNING WAY
IDAHO FALLS, ID 83404-7510
Phone number: 208-525-8448
Mailing Address
LEE S GARDNER P.A.-C
2725 CHANNING WAY
IDAHO FALLS, ID 83404-7510
Phone number: 208-525-8448
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