RICKY LANE GARDNER

TREMONTON, UT
NPI1588892954
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  9009537-1205)
Enumeration Date2009-06-24
Last Update Date2021-09-29
Business Address
RICKY LANE GARDNER MD
935 N 1000 W
TREMONTON, UT 84337-9356
Phone number: 435-207-4800
Mailing Address
RICKY LANE GARDNER MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: