Dr. Tessa Gardner
Pediatric Infectious Diseases
7905 Blackberry Ave
Saint Louis
, Missouri 63130-2710
Dr. Tessa Gardner
Pediatric Infectious Diseases
7905 Blackberry Ave
Saint Louis
, Missouri 63130-2710
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About
Features
Specialties
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Dr. Tessa Gardner
- Po Box 300009
- Saint Louis, MO
- Zip : 63130-0340
- Phone :
Second Address
- Dr. Tessa Gardner
- 7905 Blackberry Ave
- Saint Louis, MO
- Zip : 63130-2710
- Phone : (314) 727-9101
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0208X | Pediatric Infectious Diseases | R8414 | MO |
National Provider Identifier
| NPI | 1487781597 |
|---|---|
| Provider Name | Dr. Tessa Gardner |
| First Address | Saint Louis, MO 63130-0340 |
| Second Address | Saint Louis, MO 63130-2710 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2007 |
| Last Update Date | 08/01/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.