Individual
JEFFERY RAY GAMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4326
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111890
—
AZ
01
—
2Z4634
HEALTHNET
AZ
01
—
7184873
AETNA
AZ
01
—
AZ0913890
BLUE CROSS BLUE SHIELD AZ
AZ
Enumeration date
08/05/2006
Last updated
01/04/2008
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