Gardner, Mark L

Gardner, Mark L is an individual health care provider with primary practice located at 475 N Forbes St , Lakeport CA 95453-4725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gardner, Mark L can be contacted via phone (707) 263-6346.

Contact Information

Primary practice address
475 N Forbes St Lakeport CA 95453-4725
Phone: (707) 263-6346
Fax: (707) 263-5327
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME0065785 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G73337 California

Profile Details

NPI number 1811921174
LBN Legal business name Gardner, Mark L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Dec 14th, 2017 - about 9 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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