NPI
Jonathan M Gardner
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- M.D.
- Type
- Individual
- Enumeration date
- 2011-08-11
- Last updated
- 2021-08-10
Specialties
Licenses
- License ID
- M12339
- License UT
- 8390890-1205
- License ID
- M12339
Location
- Practice location
- 935 N 1000 W
- City
- Tremonton UT
- Postal code
- 84337-9356
- Phone
- (435) 207-4800
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Tremonton, UT. 161 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.