Gardner, Stuart Alexander

Gardner, Stuart Alexander is an individual health care provider with primary practice located at 825 Davis St Suite A, Blacksburg VA 24060-7009. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Gardner, Stuart Alexander can be contacted via phone (540) 951-6000.

Contact Information

Primary practice address
825 Davis St Suite A Blacksburg VA 24060-7009
Fax: (540) 951-9400
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X MD030836E Pennsylvania
Other Service Providers / Specialist 174400000X MD030836E Pennsylvania
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 0101243628 Virginia

Profile Details

NPI number 1710983499
LBN Legal business name Gardner, Stuart Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jan 26th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710983499 NPPES
Virginia MEDICAID 1710983499
Virginia MEDICAID 00100399200001

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