Gardner, Barry

Gardner, Barry is an individual health care provider with primary practice located at 1400 N 500 E , Logan UT 84341-2455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Gardner, Barry can be contacted via phone (435) 716-1000.

Contact Information

Primary practice address
1400 N 500 E Logan UT 84341-2455
Phone: (435) 716-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 319532 Utah
Allopathic & Osteopathic Physicians / General Practice 208D00000X 319532-1205 Utah

Profile Details

NPI number 1922049923
LBN Legal business name Gardner, Barry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 13th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922049923 NPPES
Idaho MEDICAID 807469200
Idaho Other P00393212
Idaho MEDICAID D1618

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