Individual provider · Type 1 NPI

John Russell Gardner, MD

Emergency Medical Services (Emergency Medicine) Physician · Omaha, NE

NPI number 1760570972 Active

Practice location

601 N 30th St
Omaha, NE 68131-2137

Mailing address

PO Box 3366-0210
Omaha, NE 68176-0210

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004X23872 (NE)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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About NPI 1760570972

John Russell Gardner, MD's National Provider Identifier is 1760570972, issued on Oct 11, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Omaha, NE. The record was last updated on Oct 20, 2008.