Phillip A Gardner
Otolaryngologist (ENT Doctor)
700 Wesy Kent
Missoula
, Montana 59801-4008
Phillip A Gardner
Otolaryngologist (ENT Doctor)
700 Wesy Kent
Missoula
, Montana 59801-4008
(406) 541-3950
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Phillip A Gardner
- Po Box 4907
- Missoula, MT
- Zip : 59806-4907
- Fax : (406) 541-3950
- Phone : (406) 541-3277
Second Address
- Phillip A Gardner
- 700 Wesy Kent
- Missoula, MT
- Zip : 59801-4008
- Fax : (406) 541-3950
- Phone : (406) 541-3277
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 8225 | MT |
National Provider Identifier
| NPI | 1003843897 |
|---|---|
| Provider Name | Phillip A Gardner |
| First Address | Missoula, MT 59806-4907 |
| Second Address | Missoula, MT 59801-4008 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2006 |
| Last Update Date | 15/04/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0101048 | (05) | MT |
| F55806 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.