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1760570972
JOHN RUSSELL GARDNER
OMAHA, NE
NPI
1760570972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: NE 23872)
Enumeration Date
2006-10-11
Last Update Date
2008-10-20
Business Address
-- JOHN RUSSELL GARDNER MD
601 N 30TH ST
OMAHA, NE 68131-2137
Phone number: 402-449-4590
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Mailing Address
-- JOHN RUSSELL GARDNER MD
PO BOX 3366-0210
OMAHA, NE 68176-0210
Phone number: 866-321-8433
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