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Dr. Brian Gambardella, MD
Student in an Organized Health Care Education/Training Program in Santa Rosa, California
NPI 1295316396

Brian Gambardella is a Student in an Organized Health Care Education/Training Program based in Santa Rosa, CA. Brian Gambardella practices in Santa Rosa, CA and has the professional credentials of MD. The NPI Number for Brian Gambardella is 1295316396 and holds a License No. (California).

The current practice location address for Brian Gambardella is 401 Bicentennial Way, Santa Rosa, CA and can be reached out via phone at 707-393-4015.

Location: 401 Bicentennial Way, Santa Rosa, CA, 95403-2149
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295316396
Provider Name
Brian Gambardella
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
401 Bicentennial Way, Santa Rosa, CA, 95403-2149
Phone Number
707-393-4015
Fax Number
Provider Enumeration Date
04/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
401 Bicentennial Way
City
Santa Rosa
State
California
Zip
95403
Phone Number
707-393-4015
Fax Number
person
Provider Business Mailing Address Details
Address
401 Bicentennial Way
City
Santa Rosa
State
California
Zip
95403
Phone Number
707-393-4015
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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