Individual
DR. NICHOLAS T. GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1072 N LIBERTY ST STE 200, BOISE, ID 83704-8963
(208) 302-4100
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
6471162
ID
207T00000X
Neurological Surgery Physician
MD225480
OR
Other
Enumeration date
04/01/2018
Last updated
08/06/2025
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