Individual
JUSTIN BLAKE GAMBRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
500 SENTARA CIR STE 202, WILLIAMSBURG, VA 23188-5727
(757) 984-9850
(757) 345-6643
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2518
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0102204207
VA
Other
Enumeration date
02/21/2014
Last updated
11/05/2024
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