Individual provider · Type 1 NPI
Jason Thomas Gambla
Electroneurodiagnostic Specialist/Technologist · Oak Lawn, IL
NPI number
1093437337
Active
Practice location
4440 W 95th St
Oak Lawn, IL 60453-2600
Mailing address
7455 W Washington Ave Ste 302
Las Vegas, NV 89128-4340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | None listed |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
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About NPI 1093437337
Jason Thomas Gambla's National Provider Identifier is 1093437337, issued on Sep 14, 2022. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Oak Lawn, IL. The record was last updated on Sep 14, 2022.