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1326072000
ALLEN RICHARD GARDNER
PRESCOTT, AZ
NPI
1326072000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: AZ 31108)
Enumeration Date
2006-07-10
Last Update Date
2015-09-16
Business Address
-- ALLEN RICHARD GARDNER MD
3120 CLEARWATER DR
PRESCOTT, AZ 86305-7131
Phone number: 928-771-3704
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Mailing Address
-- ALLEN RICHARD GARDNER MD
PO BOX 10880
PRESCOTT, AZ 86304-0880
Phone number: 928-759-5987
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