NPI 1194110262

Stephen Michael Gardner, MD

Practitioner Emergency Medicine Physician Monroe, WA

Practice location

Address: 14701 179th Ave SE, Monroe, WA 98272-1108
Phone: (360) 794-7497
Mailing address: 345 N 101st St, Seattle, WA 98133-9113

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence MD60813210 (WA)

Other Emergency Medicine providers in Washington →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1194110262
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2015
Record last updated: 6 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.