Gardner, Jerry D.

Gardner, Jerry D. is an sole proprietor health care provider with primary practice located at 75 Desilva Island Drive , Mill Valley CA 94941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gardner, Jerry D. can be contacted via phone (415) 381-1041.

Contact Information

Primary practice address
75 Desilva Island Drive Mill Valley CA 94941
Phone: (415) 381-1041
Fax: (415) 381-1046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD009630E Pennsylvania

Profile Details

NPI number 1396040838
LBN Legal business name Gardner, Jerry D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2011
Last updated Jan 13th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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