NPI 1821012832
Paul Kenneth Gardner, MD
Practice location
- Address
- 1055 N 300 W STE 400, Provo, UT 84604-3359
- Phone
- (801) 357-7404
- Fax
- (801) 357-7587
Registered specialties
Neurological Surgery Physician
Primary
Registry record
- NPI
- 1821012832
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Jul 2006
- Record last updated
- 9 Jul 2007
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.