NPI 1902049125
Marty W Gardner, RTRDMS
Practice location
- Address
- 200 West Hospital Drive, Whiteriver, AZ 85941
- Phone
- (928) 338-4911
- Mailing address
- PO Box 860, Whiteriver, AZ 85941-0860
Registered specialties (2)
Sonography Radiologic Technologist
Primary
Radiologic Technologist
Registry record
- NPI
- 1902049125
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Apr 2009
- Record last updated
- 17 Apr 2009
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.