Gardner, Dylan Sean

Gardner, Dylan Sean is an individual health care provider with primary practice located at 5606 Pura Vida Trl , Stillwater OK 74074-2692. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Gardner, Dylan Sean can be contacted via phone (405) 880-1234.

Contact Information

Primary practice address
5606 Pura Vida Trl Stillwater OK 74074-2692
Phone: (405) 880-1234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1710761812
LBN Legal business name Gardner, Dylan Sean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2023
Last updated Aug 21st, 2023 - about 2 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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