Robert William Gardner
Family Doctor - Addiction Medicine
6300 E. Hwy 20
Lucerne
, California 95458
Robert William Gardner
Family Doctor - Addiction Medicine
6300 E. Hwy 20
Lucerne
, California 95458
(707) 274-9297
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Robert William Gardner
- 10458 Chatten Court
- Clearlake Oaks, CA
- Zip : 95423-7050
- Fax : (707) 274-9297
- Phone : (707) 274-9299
Second Address
- Robert William Gardner
- 6300 E. Hwy 20
- Lucerne, CA
- Zip : 95458
- Fax : (707) 274-9297
- Phone : (707) 274-9299
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | G30366 | CA |
National Provider Identifier
| NPI | 1023183829 |
|---|---|
| Provider Name | Robert William Gardner |
| First Address | Clearlake Oaks, CA 95423-7050 |
| Second Address | Lucerne, CA 95458 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/11/2006 |
| Last Update Date | 01/11/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G303660 | (05) | CA |
| A44393 | (02) | CA |
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.