Individual
GERALD T GAMBRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2537 EISENHOWER RD, OTTAWA, KS 66067-9482
(785) 242-3780
(785) 242-6397
Mailing address
PO BOX 677, OTTAWA, KS 66067-0677
(785) 242-3780
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD 04-29098
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100429640A
—
KS
05
—
2087667801
—
KS
Enumeration date
07/14/2006
Last updated
04/23/2012
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