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Mr. Dallin Brim Gambles, PA
Medical Physician Assistant in Rexburg, Idaho
NPI 1760533400

Dallin Brim Gambles is a Medical Physician Assistant based in Rexburg, ID and is specialized in Medical. Dallin Brim Gambles practices in Rexburg, ID and has the professional credentials of PA. The NPI Number for Dallin Brim Gambles is 1760533400 and holds a License No. PA-236 (Idaho).

The current practice location address for Dallin Brim Gambles is 380 Walker Dr, Rexburg, ID and can be reached out via phone at 208-356-9559. You can also correspond with Dallin Brim Gambles through the mailing address at 380 WALKER DRIVE, REXBURG, ID - 83440 (mailing address contact number: 208-356-9559).

Location: 380 Walker Dr, Rexburg, ID, 83440
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Provider Profile Details
NPI Number
1760533400
Provider Name
Dallin Brim Gambles
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
380 Walker Dr, Rexburg, ID, 83440
Phone Number
208-356-9559
Fax Number
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00134875 01 ID RAILROAD MEDICARE
PALDO 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
380 Walker Dr
City
State
Zip
83440-1657
Phone Number
208-356-9559
Fax Number
person
Provider Business Mailing Address Details
Address
380 Walker Dr
City
State
Zip
83440-1657
Phone Number
208-356-9559
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-236 (Idaho)
Definition
Definition to come...
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