Gardner, Marty W
Gardner, Marty W is an individual health care provider with primary practice located at 200 West Hospital Drive , Whiteriver AZ 85941. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Technologists, Technicians & Other Technical Service Providers / Sonography. Technologists, Technicians & Other Technical Service Providers / Sonography is his primary health care specialty. Gardner, Marty W can be contacted via phone (928) 338-4911.Contact Information
Primary practice address
200 West Hospital Drive
Whiteriver AZ 85941
Phone: (928) 338-4911
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist | 247100000X | Arizona | |
| Technologists, Technicians & Other Technical Service Providers / Sonography | 2471S1302X |
Profile Details
| NPI number | 1902049125 |
|---|---|
| LBN Legal business name | Gardner, Marty W |
| Credentials | R.T., R.D.M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2009 |
| Last updated | Apr 17th, 2009 - about 17 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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