Male or Other

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

Provider Address

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