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Individual

MR. AMMON LAMBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2940 E BANNER GATEWAY DR, STE 200, GILBERT, AZ 85234-2171
(480) 964-2908
(480) 833-2136
Mailing address
PO BOX 29870, PHOENIX, AZ 85038-9870
(602) 772-3800
(602) 772-3801

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3722
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
887372
AZ
Enumeration date
10/15/2007
Last updated
05/16/2014
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