Dr. Erin S. Gardner M.D.
Dermatology Physician in Saint Louis, MO(View on Map)
Full Name
Dr. Erin Scott Gardner M.D.
NPI Number
1285630061
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/25/2005
Specialties
(Taxonomies)Code
207N00000X
207ND0101X
207NS0135X
Primary Taxonomy
Yes
No
No
Licenses
State
Missouri
License Number
2001005039
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 31236
3009 N BALLAS RD STE 300A
City
Saint Louis
Saint Louis
State
MO
MO
Postal Code
63131-0236
63131-2354
Country
US
US
Telephone Number
(314) 997-7546
(314) 997-7546
Identifiers
Identifier
070016410
152349
364447622
364447622 63703 A001
36-4447622-71631
364447622
070016411
36-4447622
3644476220001
Unknown
Identifier State
MO
MO
MO
MO
MO
MO
MO
MO
MO
Unknown
Identifier Issuer
RR MEDICARE - STL OFFICE
BLUE CROSS BLUE SHIELD MO
UNITED HEALTHCARE
TRICARE
AETNA
CIGNA
RR MEDICARE - CAPE OFFICE
MERCY
RR MEDICARE
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/04/2022