Individual provider · Type 1 NPI

Mara Gardner

Medical Physician Assistant · Mesa, AZ

NPI number 1740579622 Active

Practice location

2310 E Brown Rd
Mesa, AZ 85213-5226

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X4822 (AZ)

Medical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1740579622

Mara Gardner's National Provider Identifier is 1740579622, issued on Mar 31, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mesa, AZ. The record was last updated on Mar 31, 2011.