Jonathan M Gardner, M.D. Valid NPI

Individual provider · Family Medicine Physician · Tremonton, UT

NPI

1154600922

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

8390890-1205 (UT)

Sex

Male

Sole proprietor

No

Enumerated

2011-08-11

Last updated

2021-08-10