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Dr. Larry Kyle Gambrell, DO
Otolaryngology/Facial Plastic Surgery Physician in Sebastopol, California
NPI 1275621963

Larry Kyle Gambrell is a Otolaryngology/Facial Plastic Surgery Physician based in Sebastopol, CA and is specialized in Otolaryngology/Facial Plastic Surgery. Larry Kyle Gambrell practices in Sebastopol, CA and has the professional credentials of DO. The NPI Number for Larry Kyle Gambrell is 1275621963 and holds a License No. 20A9837 (California).

The current practice location address for Larry Kyle Gambrell is 6880 Palm Avenue, Sebastopol, CA and can be reached out via phone at 707-823-7628 and via fax at 707-823-1521.

Location: 6880 Palm Avenue, Sebastopol, CA, 95472-4270
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275621963
Provider Name
Larry Kyle Gambrell
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
6880 Palm Avenue, Sebastopol, CA, 95472-4270
Phone Number
707-823-7628
Fax Number
707-823-1521
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CA107813 01 CA MEDICARE
institution
Provider Business Practice Location Address Details
Address
6880 Palm Avenue
City
Sebastopol
State
California
Zip
95472
Phone Number
707-823-7628
Fax Number
707-823-1521
person
Provider Business Mailing Address Details
Address
6880 Palm Avenue
City
Sebastopol
State
California
Zip
95472
Phone Number
707-823-7628
Fax Number
707-823-1521
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
20A9837 (California)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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