NPI

Scott Allan Gardner

NPI 1568458701

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
MD
Type
Individual
Enumeration date
2005-09-22
Last updated
2024-09-16

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Specialties

Licenses

License OR
MD16480
License ID
M9619
License WA
MD00046059
License OH
35.054539

Location

Practice location
175 E Alex Bell Rd, Suite 212
City
Centerville OH
Postal code
45459
Phone
(509) 254-3121

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Centerville, OH. 1,343 records in the public file.

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