Individual
DR. ALLEN S. GARDNER
Active
Individual
DR. ALLEN S. GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101018446
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088909
ANTHEM
VA
01
—
4089095
AETNA
VA
01
—
8132486
MAMSI
VA
01
—
95009502
UNITED HEALTHCARE
VA
01
—
B3800003
CAREFIRST BC/BS
VA
Enumeration date
09/02/2006
Last updated
03/29/2012
Update your record
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