Individual
MR. ALAN LEE GAMBILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STATE LICENSED HAD
Contact information
Practice address
239 S STATE ROAD 135, GREENWOOD, IN 46142-1421
(317) 865-7676
(317) 865-7674
Mailing address
239 S STATE ROAD 135, GREENWOOD, IN 46142-1421
(317) 865-7676
(317) 865-7674
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
17001222A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000346775
ANTHEM PROVIDER NUMBER
IN
Enumeration date
11/10/2006
Last updated
07/09/2007
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