Doctor Name: | DR. WALTER H GARDINER |
NPI Number: | 1225035280 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 1008 |
Business Practice Address: | 5134 Sundial Park Gallows Bay Christiansted, VI - 008204673 |
Business Phone Number: | 3407733227 |
Business Fax Number: | 3407738997 |
Mailing Address: | Po Box 1728, CHRISTIANSTED |
State: | VI |
Postal Code: | 008211728 |
Phone Number: | 3407733227 |
Fax Number: | 3407738997 |
NPI Enumeration Date: | 07/06/2005 |
NPI Last Update Date: | 01/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 170100000X |
License Number: | 1008 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Medical Genetics, Ph.D. Medical Genetics |
Taxonomy Specialization: | |
Taxonomy Definition: | A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |