Organization
WILLIAMSBURG FOOT & ANKLE SPECIALISTS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALLYN GARDNER DPM (PRESIDENT)
(757) 220-3311
Entity
Organization
Contact information
Practice address
453 MCLAWS CIR, SUITE 1, WILLIAMSBURG, VA 23185-5645
(757) 220-3311
(757) 220-9070
Mailing address
PO BOX 5635, WILLIAMSBURG, VA 23188-5210
(757) 220-3311
(757) 220-9070
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
0103000917
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115887
ANTHEM
VA
Enumeration date
03/08/2007
Last updated
12/08/2010
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