Individual provider · Type 1 NPI
Larry Kyle Gambrell, DO
Otolaryngology/Facial Plastic Surgery Physician · Sebastopol, CA
NPI number
1275621963
Active
Practice location
6880 Palm Avenue
Sebastopol, CA 95472
Fax (707) 823-1521
Mailing address
6880 Palm Ave
Sebastopol, CA 95472-4270
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | 20A9837 (CA) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
About NPI 1275621963
Larry Kyle Gambrell, DO's National Provider Identifier is 1275621963, issued on Oct 10, 2006. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Sebastopol, CA. The record was last updated on Mar 3, 2015.