| Marshall Keith Gardner, D.O., P.C. | |
|
15 Anthony Dr Richboro PA 18954-1328 | |
| (215) 969-3013 | |
| (215) 676-2522 |
| Full Name | Marshall Keith Gardner, D.O., P.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 15 Anthony Dr, Richboro, Pennsylvania |
| Authorized Official Name and Position | Fran Gardner (OFFICE MANAGER) |
| Authorized Official Contact | 2159693013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marshall Keith Gardner, D.O., P.C. 15 Anthony Dr Richboro PA 18954-1328 Ph: (215) 969-3013 | Marshall Keith Gardner, D.O., P.C. 15 Anthony Dr Richboro PA 18954-1328 Ph: (215) 969-3013 |
| NPI Number | 1891814018 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 11/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891814018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS003214L (Pennsylvania) | Primary |
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