Individual
DR. EDGARDO GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2214 CANTERBURY DR, SUITE 314, HAYS, KS 67601-2375
(785) 623-2326
(785) 623-2331
Mailing address
2214 CANTERBURY DR, SUITE 314, HAYS, KS 67601-2375
(785) 623-2326
(785) 623-2331
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0429376
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100168010B
—
KS
Enumeration date
02/17/2006
Last updated
12/16/2009
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