Dr LEE S GARDNER PA is a male medical professional, specializing in Physician Assistant. He graduated in 1998.
DALLCO ORTHOPAEDICS AND SPORTS MEDICINE
3300 WASHINGTON PKWY
IDAHO FALLS
ID
834047592
Tel: 2085226662
| Npi | 1063589612 |
| Pac Id | 0941272199 |
| Professional Enrollment Id | I20040809001311 |
| Last Name | GARDNER |
| First Name | LEE |
| Middle Name | S |
| Suffix | |
| Gender | M |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | DALLCO ORTHOPAEDICS AND SPORTS MEDICINE |
| Group Practice Pac Id | 8628385556 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 3300 WASHINGTON PKWY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 834047592 |
| Phone Number | 2085226662 |
| Hospital Affiliation Ccn 1 | 130065 |
| Hospital Affiliation Lbn 1 | MOUNTAIN VIEW HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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