PHILIP A GARDNER MD LLC NPI 1588981641

NPI Information

  • NPI: 1588981641
  • Provider Name: PHILIP A GARDNER MD LLC
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Organization
  • Address: 915 SOUTH HARRISON STREET
    COVINGTON, LA
    ZIP 70433
  • Phone: (985) 590-5422

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NPI Details

PHILIP A GARDNER MD LLC is a vascular and interventional radiology radiology in Covington, LA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. PHILIP A GARDNER MD LLC NPI is 1588981641. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

915 SOUTH HARRISON STREET
COVINGTON, LA
ZIP 70433-321
Phone: (985) 590-5422
Fax: (985) 590-5423

The provider's authorized official is Philip A Gardner .
The authorized official title is President and has the following contact phone number (985) 590-5422.

The enumeration date for this NPI number is 4/29/2010 and was last updated on 4/29/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional Radiology03988RLOUISIANAYes

What is NPI?

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This page was last updated on: 11/21/2025

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