Individual
STUART ALEXANDER GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 DAVIS ST, SUITE A, BLACKSBURG, VA 24060-7009
(540) 951-6000
(540) 951-9400
Mailing address
825 DAVIS ST, SUITE A, BLACKSBURG, VA 24060-7009
(540) 951-6000
(540) 951-9400
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
MD030836E
PA
174400000X
Specialist
MD030836E
PA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
0101243628
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00100399200001
—
PA
05
—
1710983499
—
VA
Enumeration date
06/27/2005
Last updated
01/26/2022
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