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Individual

DR. RAYMOND GAMBRILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1075 SW GRANDVIEW AVE, STE 200, GRANTS PASS, OR 97527
(541) 479-8363
(541) 476-2841
Mailing address
1075 SW GRANDVIEW AVENUE, STE 200, GRANTS PASS, OR 97527
(541) 479-8363
(541) 476-2841

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD08033
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
218271
OR
Enumeration date
05/31/2005
Last updated
09/19/2012
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