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Individual

TEGAN HALBERG GAMBLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
485 S DOBSON RD STE 201, CHANDLER, AZ 85224-5604
(480) 728-4700
(480) 728-4747
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C05493
MD
363AS0400X
Surgical Physician Assistant
Primary
6291
AZ

Other

Enumeration date
09/02/2014
Last updated
11/12/2024
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