Organization
JOHN E GAMBOA MD PLLC
Active
Other names
Cancer Center of Idaho
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E. GAMBOA M.D. (OWNER)
(208) 672-1000
Entity
Organization
Contact information
Practice address
9357 W EMERALD ST, BOISE, ID 83704-9752
(208) 672-1000
Mailing address
PO BOX 9589, BOISE, ID 83707-4589
(208) 472-8122
(208) 344-1926
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
07/09/2006
Last updated
09/03/2010
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