Individual
DR. MARYANN CECELIA KATHERINE GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3107 BONAVENTURE CT, PUEBLO, CO 81008-3100
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0075806
CO
207Q00000X
Family Medicine Physician
M9297
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201845902
—
TX
05
—
201845903
—
TX
Enumeration date
06/11/2008
Last updated
09/24/2025
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