Individual
MATTHEW GAMBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1810 116TH AVE NE, SUITE D, BELLEVUE, WA 98004-3058
(425) 455-2131
(425) 455-2335
Mailing address
1810 116TH AVE NE, SUITE D, BELLEVUE, WA 98004-3058
(425) 455-2131
(425) 455-2335
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003733
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1391507
—
CO
Enumeration date
06/14/2006
Last updated
02/28/2017
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