Gardner, Blake Isaac
Gardner, Blake Isaac is an individual health care provider with primary practice located at 1380 E Medical Center Dr Ste 1500 , St George UT 84790-2128. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Gardner, Blake Isaac can be contacted via phone (435) 251-2500.Contact Information
Primary practice address
1380 E Medical Center Dr Ste 1500
St George UT 84790-2128
Phone: (435) 251-2500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 6803985-1205 | Utah |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 6803985-1205 | Utah |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 6803985-1205 | Utah |
Profile Details
NPI number | 1134301997 |
---|---|
LBN Legal business name | Gardner, Blake Isaac |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 3rd, 2007 |
Last updated | Sep 8th, 2021 - about 3 years 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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