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Individual

MATTHEW D GAMBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2020 GRAVIER ST, 7TH FLOOR SUITE B, NEW ORLEANS, LA 70112-2272
(504) 568-6004
(504) 568-6006
Mailing address
2020 GRAVIER ST, 7TH FLOOR SUITE B, NEW ORLEANS, LA 70112-2272
(504) 568-6004
(504) 568-6006

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
200977
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1075272
LA
Enumeration date
01/25/2007
Last updated
03/05/2008
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