Doctor Name: | GABRIEL P LOMBARD |
NPI Number: | 1033264072 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 17232 |
Business Practice Address: | 851 Governor Carlos Camacho Road Tamuning, GU - 969133153 |
Business Phone Number: | 6716495018 |
Business Fax Number: | 6716463639 |
Mailing Address: | 148 Chalan Tasi, Pago Bay CHALAN PAGO |
State: | GU |
Postal Code: | 969100000 |
Phone Number: | 6717894638 |
Fax Number: | 6716463639 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17232 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |