SearchMissouri235Z00000X

Diane Gardner

NPI 1699895219 · on the registry since 2007 · sole proprietor

Practice

Address
398 Blue Jay Dr
Liberty, MO 64068
Phone
(816) 407-2315
Fax
(816) 407-1555
Clinicians at this address
16

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-02-27

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 Missouri