Del R Gardner, DO | |
4845 S Rainbow Blvd Ste 402, Las Vegas, NV 89103-4750 | |
(702) 362-9800 | |
Not Available |
Full Name | Del R Gardner |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 35 Years |
Location | 4845 S Rainbow Blvd Ste 402, Las Vegas, Nevada |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336157585 | NPI | - | NPPES |
00000079452 | Other | IN | ANTHEM, BCBS |
100544217 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO1834 (Nevada) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dana Forte D O Ltd | 1254239387 | 14 |
Entity Name | Dana Forte D O Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649209420 PECOS PAC ID: 1254239387 Enrollment ID: O20031226000245 |
Mailing Address | Practice Location Address |
---|---|
Del R Gardner, DO 9010 W Cheyenne Ave, Las Vegas, NV 89129-8932 Ph: (702) 240-8646 | Del R Gardner, DO 4845 S Rainbow Blvd Ste 402, Las Vegas, NV 89103-4750 Ph: (702) 362-9800 |
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