Individual
DARIN GAMBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1495 PARKWAY DR, STE B, BLACKFOOT, ID 83221-1638
(208) 785-2555
(208) 785-9952
Mailing address
1495 PARKWAY DR, STE B, BLACKFOOT, ID 83221-1638
(208) 785-2555
(208) 785-9952
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P153
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800772179
—
ID
Enumeration date
11/21/2005
Last updated
04/02/2013
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