SAMUEL D GARDNER

SALMON, ID
NPI1962588111
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  O-174)
Enumeration Date2006-10-31
Last Update Date2011-09-26
Business Address
-- SAMUEL D GARDNER DO
805 MAIN ST
SALMON, ID 83467-0000
Phone number: 208-756-6212
Mailing Address
-- SAMUEL D GARDNER DO
203 S DAISY ST
SALMON, ID 83467-0000
Phone number: 208-756-5600
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