Mark A Gardner
Sports Medicine
510 Butler Ave
Martinsburg
, West Virginia 25405-9990
Mark A Gardner
Sports Medicine
510 Butler Ave
Martinsburg
, West Virginia 25405-9990
(800) 817-3807
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Mark A Gardner
- 510 Butler Ave
- Martinsburg, WV
- Zip : 25405-9990
- Fax : (800) 817-3807
- Phone : (304) 263-0811
Second Address
- Mark A Gardner
- 510 Butler Ave
- Martinsburg, WV
- Zip : 25405-9990
- Fax : (800) 817-3807
- Phone : (304) 263-0811
Reviews
FAQs
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What type of doctor is Mark A Gardner
In what state does Mark A Gardner practice in?
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Is Mark A Gardner a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | 0103000917 | VA |
| Y | 213ES0000X | Sports Medicine | 0103000917 | VA |
National Provider Identifier
| NPI | 1336131473 |
|---|---|
| Provider Name | Mark A Gardner |
| First Address | Martinsburg, WV 25405-9990 |
| Second Address | Martinsburg, WV 25405-9990 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/08/2005 |
| Last Update Date | 25/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 115888 | ANTHEM BC/BS (01) | VA |
| 1215628 | CIGNA (01) | VA |
| 65326 | SENTARA (01) | VA |
| U49016 | (02) |
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.