Tommy L Gardner, BS, BIOCHEMISTRY
Individual provider Active NPI Biochemist · Santa Fe, NM
NPI 1659616787 · NPPES record last updated May 24, 2021
Key facts
- NPI
- 1659616787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Biochemist 246ZB0500X
- Practice address
- 54 Avenida Aldea
Santa Fe, NM 87507-9449 - Phone
- (505) 919-8819
- NPI assigned
- Nov 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EXEMPT | NM | MD | Homeopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homeopath | 175L00000X | EXEMPT | NM | |
| Biochemist | 246ZB0500X | Yes |
Addresses
Primary practice location
54 Avenida Aldea
Santa Fe, NM 87507-9449
Mailing address
223 N Guadalupe St # 469
Santa Fe, NM 87501-1868
Phone (505) 919-8819
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.