Gardner, Robert Anthony
Gardner, Robert Anthony is an individual health care provider with primary practice located at 2410 19Th St Se , Rio Rancho NM 87124-4857. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gardner, Robert Anthony can be contacted via phone (505) 452-4200.Contact Information
Primary practice address
2410 19Th St Se
Rio Rancho NM 87124-4857
Phone: (505) 452-4200
Fax: (505) 452-4201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD2005-0514 | New Mexico |
Profile Details
| NPI number | 1194717801 |
|---|---|
| LBN Legal business name | Gardner, Robert Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Apr 9th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194717801 | NPPES |
| New Mexico | MEDICAID | 329525 |
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