Individual
MS. REGAN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1900 ELECTRIC RD, SALEM, VA 24153-7474
(540) 776-4000
Mailing address
1900 ELECTRIC RD, SALEM, VA 24153-7474
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-007494
VA
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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