Search › California › 207Q00000X
Jerry Gardner, M.D
NPI 1396040838 · on the registry since 2011 · sole proprietor
Practice
- Address
- 75 Desilva Island Drive
Mill Valley, CA 94941 - Phone
- (415) 381-1041
- Fax
- (415) 381-1046
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-01-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California