Mark Gardner in Sunnyside - Physician Assistant

Mark Gardner - NPI 1891797247

Mark Gardner is a Physician Assistant in Sunnyside, Washington. Mark Gardner practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark Gardner is 1891797247. The last update date is 2009-10-29.

Mark Gardner's current location address is 812 Miller Ave, Sunnyside, Washington. You can contact this provider via phone number 5098377551. The mailing address for Mark Gardner is 812 Miller Ave, Sunnyside, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Gardner
Address 812 Miller Ave, Sunnyside, Washington
Phone Number 5098377551
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1891797247
Provider Enumeration Date 2005-08-15
Last Updated Date 2009-10-29

Provider Mailing Address Detail

Address 812 Miller Ave
City Sunnyside
State Washington (WA)
Post Code 989442374
Phone Number 5098377551
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 53333582
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Mark Gardner

What is the unique identifier code issued to Mark Gardner by the Centers for Medicare & Medicaid Services?

The Mark Gardner has been assigned the NPI (National Provider Identifier) 1891797247. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Mark Gardner is geographically located?

The Mark Gardner is physically situated at the following location: 812 Miller Ave, Sunnyside, WA, 989442374.

What is Mark Gardner's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mark Gardner is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Mark Gardner receive its 1891797247 assignment from the Centers for Medicare & Medicaid Services?

The Mark Gardner was assigned its 1891797247 by the Centers for Medicare & Medicaid Services on 2005-08-15.

As of what date were the details related to Mark Gardner most recently updated or revised?

The information pertaining to Mark Gardner, including its address, specialty, and other relevant details, was last updated or revised on 2009-10-29.

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