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DR. SUSAN REBECCA GAMBLE M.D.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1790950079

Individual Registrant:
DR. SUSAN REBECCA GAMBLE M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
10 WOODLAND RD  SAINT HELENA, CA 94574-9554 US
Tel: 707-963-2002  Fax: 707-963-2003

Contact information for business:
10 WOODLAND RD  SAINT HELENA, CA 94574-9554 US
Tel: 707-963-2002  Fax: --

Registration Information:
NPI: 1790950079
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
FLME 109612
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
CAA123317

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PENDINGFL05
BCBS14E2GFL01




HEALTH CARE JOBS CA - Page 1



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