Individual
ROBERT C GARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 HIGHLAND AVE SE, STE 100, ROANOKE, VA 24013-2218
(540) 344-9213
(540) 345-7559
Mailing address
21 HIGHLAND AVE SE, STE 100, ROANOKE, VA 24013-2218
(540) 344-9213
(540) 345-7559
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101235533
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010057418
—
VA
01
—
137067
ANTHEM
VA
01
—
240864
SOUTHERN HEALTH
VA
01
—
3312099
CIGNA HEALTHCARE
VA
01
—
7775566
AETNA
VA
01
—
TN0117
JOHN DEERE HEALTH CARE
VA
Enumeration date
05/27/2005
Last updated
11/12/2020
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