Larry Wayne Gardner in Colville - Dermatopathology
Larry Wayne Gardner - NPI 1114095437
Larry Wayne Gardner is a Dermatopathology in Colville, Washington. Larry Wayne Gardner practices all healthcare services and medical treatments related to Dermatopathology. The NPI Number for Larry Wayne Gardner is 1114095437. The last update date is 2010-04-23.
Larry Wayne Gardner's current location address is 1200 E Columbia Ave, Colville, Washington. You can contact this provider via phone number 5096843701 and fax number 5096845817. The mailing address for Larry Wayne Gardner is 1200 E Columbia Ave, Colville, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Wayne Gardner |
|---|---|
| Address | 1200 E Columbia Ave, Colville, Washington |
| Phone Number | 5096843701 |
| Fax Number | 5096845817 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114095437 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2010-04-23 |
Provider Mailing Address Detail
| Address | 1200 E Columbia Ave |
|---|---|
| City | Colville |
| State | Washington (WA) |
| Post Code | 991143354 |
| Phone Number | 5096843701 |
| Fax Number | 5096845817 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatopathology |
|---|---|
| Taxonomy | 207Nd0900X |
| Licence No | 3301 |
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Definition: A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellul |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2016241 | NV | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Larry Wayne Gardner by the Centers for Medicare & Medicaid Services?
The Larry Wayne Gardner has been issued the NPI (National Provider Identifier) 1114095437, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Larry Wayne Gardner is physically located?
The Larry Wayne Gardner is physically situated at the following address: 1200 E Columbia Ave, Colville, WA, 991143354.
What is Larry Wayne Gardner's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Larry Wayne Gardner is Dermatopathology, and the corresponding taxonomy classification code for this specialized field is 207Nd0900X.
On what date did the Larry Wayne Gardner receive its 1114095437 assignment from the Centers for Medicare & Medicaid Services?
The Larry Wayne Gardner was assigned its 1114095437 by the Centers for Medicare & Medicaid Services on 2006-12-04.
When was the information regarding Larry Wayne Gardner most recently updated?
The details pertaining to the Larry Wayne Gardner, including its address, specialty, and other relevant information, were last refreshed on 2010-04-23.
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