Individual
DR. WILLIAM VAUGHN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2561 MOUNTAIN VILLAGE DR, SUITE F, WASILLA, AK 99654
(907) 290-3760
(907) 631-0647
Mailing address
2561 MOUNTAIN VILLAGE DR, SUITE F, WASILLA, AK 99654
(907) 376-2411
(907) 631-0647
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2454
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200012546
MDCR RAILROAD
—
05
—
MD2454
—
AK
Enumeration date
06/15/2006
Last updated
05/09/2025
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