Provider Demographics
NPI:1538796909
Name:GAMBRIL, JOHN ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ALAN
Last Name:GAMBRIL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1808 7TH AVENUE SOUTH
Mailing Address - Street 2:BOSHELL DIABETES BUILDING 201
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35294
Mailing Address - Country:US
Mailing Address - Phone:205-934-0820
Mailing Address - Fax:205-975-8568
Practice Address - Street 1:1808 7TH AVENUE SOUTH BOSHELL DIABETES BUILDING 201
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35294-1043
Practice Address - Country:US
Practice Address - Phone:205-934-0820
Practice Address - Fax:205-975-8568
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH57.249197207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics