Brian Kowallis Gardner, DPM
Brian Kowallis Gardner, DPM is a Podiatry in Roosevelt, Utah. Qualified in 2005, 21 years ago. Practices with Uintah Basin Medical Center, a 60-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 21
- Licensed in
- UT
- In the registry since
- 2007
What do these letters mean?
- DPM — Doctor of Podiatric Medicine
- A foot and ankle physician and surgeon.
Practice location Address checks out
210 W 300 NRoosevelt, UT 84066-2336
Phone: (435) 722-6163
Fax: (435) 722-9291
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot & Ankle Surgery Podiatrist (primary) | Taxonomy 213ES0103X · Licence 6297901-0501 (UT) |
|---|
Record details
| NPI number | 1396943825 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPM |
| Sole proprietor | Yes |
| NPI enumerated | July 5, 2007 |
| Last updated in NPPES | May 11, 2017 |
| Mailing address | 210 W 300 N, Roosevelt, UT 84066-2336 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Uintah Basin Medical Center — 60 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |