Individual
ANTHONY W GAMBILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C., CSCS
Contact information
Practice address
2701 SPRING ST, FORT WAYNE, IN 46808-3939
(260) 399-7700
(260) 399-8164
Mailing address
7302 JASMINE PL, FORT WAYNE, IN 46825-3196
(260) 483-3071
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000011A
IN
Other
Enumeration date
09/09/2005
Last updated
03/29/2010
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