BRIAN KOWALLIS GARDNER

ROOSEVELT, UT
NPI1396943825
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: UT  6297901-0501)
Enumeration Date2007-07-05
Last Update Date2017-05-11
Business Address
-- BRIAN KOWALLIS GARDNER DPM
210 W 300 N
ROOSEVELT, UT 84066-2336
Phone number: 435-722-6163
Mailing Address
-- BRIAN KOWALLIS GARDNER DPM
210 W 300 N
ROOSEVELT, UT 84066-2336
Phone number: 435-722-6163