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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHASTA LEE GAMBLE

Active Sole Proprietor

SHASTA LEE GAMBLE is a Podiatric Surgery healthcare provider located in PLEASANT HILL, Iowa. NPI 1659843506 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · PLEASANT HILL, IA

Registration Details

NPI Number
1659843506
Provider Type
Individual
Gender
Female
NPI Issued
Dec 17, 2018 (7.6703180940173 yrs)
Last Updated
Dec 17, 2018
Sole Proprietor
Yes

Practice Information

Address
1300 METRO EAST DR STE 110
PLEASANT HILL, IA, 503278906
Browse IA providers · Browse ZIP 50327
Phone
5152430011
Fax
5152437711
Primary Specialty
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.