Dr Paul Kenneth Gardner, MD | |
1055 N 300 W Ste 400, Provo, UT 84604-3359 | |
(801) 357-7404 | |
(801) 357-7587 |
Full Name | Dr Paul Kenneth Gardner |
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Gender | Male |
Speciality | Neurological Surgery |
Location | 1055 N 300 W Ste 400, Provo, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821012832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 378667-1205 (Utah) | Primary |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
Entity Name | Utah Neurological Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316165947 PECOS PAC ID: 3375575582 Enrollment ID: O20050908000923 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul Kenneth Gardner, MD 1055 N 300 W Ste 400, Provo, UT 84604-3359 Ph: (801) 357-7404 | Dr Paul Kenneth Gardner, MD 1055 N 300 W Ste 400, Provo, UT 84604-3359 Ph: (801) 357-7404 |
Dr. Karl D Neilson, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4328 Fax: 801-344-4225 | |
Lynn Miller Gaufin, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 400, Provo, UT 84604 Phone: 801-357-7404 Fax: 801-357-7587 | |
Dr. John R Edwards, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 400, Provo, UT 84604 Phone: 801-357-7404 Fax: 801-357-7587 | |
Dr. Howard Reed Reichman, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 400, Provo, UT 84604 Phone: 801-357-7404 Fax: 801-357-7587 | |
Dr. Adam Kimball Bevan, M.D., PH.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 400, Provo, UT 84604 Phone: 801-357-7404 Fax: 801-357-7587 |