Individual
DR. BRIAN GAMBARDELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 BICENTENNIAL WAY, MOB2, SUITE 310, SANTA ROSA, CA 95403
(707) 393-4015
Mailing address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A187316
CA
Other
Enumeration date
04/20/2021
Last updated
09/26/2024
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