Gardner, Ricky Lane

Gardner, Ricky Lane is an individual health care provider with primary practice located at 935 N 1000 W , Tremonton UT 84337-9356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gardner, Ricky Lane can be contacted via phone (435) 207-4800.

Contact Information

Primary practice address
935 N 1000 W Tremonton UT 84337-9356
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9009537-1205 Utah

Profile Details

NPI number 1588892954
LBN Legal business name Gardner, Ricky Lane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2009
Last updated Sep 29th, 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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