Individual
DAN ROBERT GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 HIGHLAND OAKS DR, SUITE 101, WINSTON SALEM, NC 27103-7109
(336) 659-8180
(336) 659-8363
Mailing address
725 HIGHLAND OAKS DR, SUITE 101, WINSTON SALEM, NC 27103-7109
(336) 659-8180
(336) 659-8363
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C4332
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102198001
—
AR
Enumeration date
10/27/2005
Last updated
04/02/2009
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