Organization
BRIAN LIND GAMBORG MD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN GAMBORG MD (OWNER)
(337) 527-8087
Entity
Organization
Contact information
Practice address
1114 STELLY LN, SULPHUR, LA 70663-5139
(337) 527-7087
(337) 527-9831
Mailing address
1114 STELLY LN, SULPHUR, LA 70663-5139
(337) 527-7087
(337) 527-9831
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
023359
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1449491
—
LA
Enumeration date
05/15/2007
Last updated
02/26/2008
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