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Individual

DR. ADAM STONE GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
USAMEDDAC 11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602-5004
(508) 265-3323
Mailing address
USAMEDDAC 11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602-5004
(508) 265-3323

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30997
NE

Other

Enumeration date
01/27/2017
Last updated
08/25/2020
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