| Matthew J. Gardiner, Md, Pc | |
|
1452 E Ridgeline Dr Suite 151 South Ogden UT 84405-4946 | |
| (801) 475-1783 | |
| (801) 475-5777 |
| Full Name | Matthew J. Gardiner, Md, Pc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1452 E Ridgeline Dr, South Ogden, Utah |
| Authorized Official Name and Position | Matthew James Gardiner (PRESIDENT) |
| Authorized Official Contact | 8014751783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew J. Gardiner, Md, Pc 1452 E Ridgeline Dr Suite 151 South Ogden UT 84405-4946 Ph: (801) 475-1783 | Matthew J. Gardiner, Md, Pc 1452 E Ridgeline Dr Suite 151 South Ogden UT 84405-4946 Ph: (801) 475-1783 |
| NPI Number | 1588990279 |
|---|---|
| Provider Enumeration Date | 10/30/2009 |
| Last Update Date | 10/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588990279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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