Individual
DR. ERIN SCOTT GARDNER
Active
Individual
DR. ERIN SCOTT GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2001005039
MO
207ND0101X
MOHS-Micrographic Surgery Physician
2001005039
MO
207NS0135X
Procedural Dermatology Physician
2001005039
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070016410
RR MEDICARE - STL OFFICE
MO
01
—
070016411
RR MEDICARE - CAPE OFFICE
MO
01
—
152349
BLUE CROSS BLUE SHIELD MO
MO
01
—
36-4447622
MERCY
MO
01
—
36-4447622-71631
AETNA
MO
01
—
364447622
UNITED HEALTHCARE
MO
01
—
364447622 63703 A001
TRICARE
MO
01
—
3644476220001
RR MEDICARE
MO
Enumeration date
06/25/2005
Last updated
03/04/2022
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