person
Mark A Gardner, DPM
Sports Medicine Podiatrist in Martinsburg, West Virginia
NPI 1336131473

Mark A Gardner is a Sports Medicine Podiatrist based in Martinsburg, WV and is specialized in Sports Medicine. Mark A Gardner practices in Martinsburg, WV and has the professional credentials of DPM. The NPI Number for Mark A Gardner is 1336131473 and holds a License No. 0103000917 (West Virginia).

The current practice location address for Mark A Gardner is 510 Butler Ave, Martinsburg, WV and can be reached out via phone at 304-263-0811 and via fax at 800-817-3807.

Location: 510 Butler Ave, Martinsburg, WV, 25405-9990
person
Provider Profile Details
NPI Number
1336131473
Provider Name
Mark A Gardner
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
510 Butler Ave, Martinsburg, WV, 25405-9990
Phone Number
304-263-0811
Fax Number
800-817-3807
Provider Enumeration Date
08/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
115888 01 VA ANTHEM BC/BS
1215628 01 VA CIGNA
65326 01 VA SENTARA
institution
Provider Business Practice Location Address Details
Address
510 Butler Ave
City
State
Zip
25405-9990
Phone Number
304-263-0811
Fax Number
800-817-3807
person
Provider Business Mailing Address Details
Address
510 Butler Ave
City
State
Zip
25405-9990
Phone Number
304-263-0811
Fax Number
800-817-3807
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
License No.
0103000917 (Virginia)
Definition
Definition to come...
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