GLENN PIERCE GARDNER

JOHNSTOWN, PA
NPI1932165321
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0129X 
(Licence: WA  MD 60118824)
Additional Taxonomies2086S0129X 
(Licence: MO  20050400008)
Enumeration Date2006-04-25
Last Update Date2016-03-09
Business Address
-- GLENN PIERCE GARDNER MD
1086 FRANKLIN ST STE 3002
JOHNSTOWN, PA 15905-4305
Phone number: 814-534-9194
Mailing Address
-- GLENN PIERCE GARDNER MD
1086 FRANKLIN ST
JOHNSTOWN, PA 15905-4305
Phone number: 814-410-8300
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