Brian Kowallis Gardner in Roosevelt - Foot & Ankle Surgery
Brian Kowallis Gardner - NPI 1396943825
Brian Kowallis Gardner is a Foot & Ankle Surgery in Roosevelt, Utah. Brian Kowallis Gardner practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Brian Kowallis Gardner is 1396943825. The last update date is 2017-05-11.
Brian Kowallis Gardner's current location address is 210 W 300 N, Roosevelt, Utah. You can contact this provider via phone number 4357226163 and fax number 4357229291. The mailing address for Brian Kowallis Gardner is 210 W 300 N, Roosevelt, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Kowallis Gardner |
|---|---|
| Address | 210 W 300 N, Roosevelt, Utah |
| Phone Number | 4357226163 |
| Fax Number | 4357229291 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1396943825 |
|---|---|
| Provider Enumeration Date | 2007-07-05 |
| Last Updated Date | 2017-05-11 |
Provider Mailing Address Detail
| Address | 210 W 300 N |
|---|---|
| City | Roosevelt |
| State | Utah (UT) |
| Post Code | 840662336 |
| Phone Number | 4357226163 |
| Fax Number | 4357229291 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 6297901-0501 |
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Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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What is the unique 10-digit identification code issued to Brian Kowallis Gardner by the Centers for Medicare & Medicaid Services?
The Brian Kowallis Gardner has been assigned the NPI (National Provider Identifier) 1396943825 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Brian Kowallis Gardner's physical address?
The Brian Kowallis Gardner is physically located at 210 W 300 N, in the city of Roosevelt, UT, with the postal code 840662336.
What is Brian Kowallis Gardner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brian Kowallis Gardner's area of specialization is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0103X.
When did the Brian Kowallis Gardner receive its 1396943825?
The Brian Kowallis Gardner was issued its 1396943825 on 2007-07-05, which is the date when the organization was assigned this unique identifier.
As of what date were the Brian Kowallis Gardner's details last updated?
The information pertaining to the Brian Kowallis Gardner, including its address, specialty, and other details, was most recently updated on 2017-05-11.
NPI Number: 1316940851
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