Individual
MR. MATTHEW IAN GEMBALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
2201 N VICKEY ST STE 110, FLAGSTAFF, AZ 86004-6126
(928) 213-9460
(928) 213-9465
Mailing address
6622 N 91ST AVE, STE 220, GLENDALE, AZ 85305-2569
(602) 759-6883
(602) 224-3358
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35737
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114950185-01
—
AZ
Enumeration date
07/10/2006
Last updated
10/29/2019
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