Provider Demographics
NPI:1003006149
Name:GAMBOA, STEPHEN H (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:H
Last Name:GAMBOA
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:UNIVERSITY OF NORTH CAROLINA
Mailing Address - Street 2:590 MANNING DR, CB #7595
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:919-966-2236
Mailing Address - Fax:919-966-6125
Practice Address - Street 1:UNC DEPT OF FAMILY MEDICINE
Practice Address - Street 2:590 MANNING DR, CB #7595
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-966-2236
Practice Address - Fax:919-966-6125
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2021-12-15
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Provider Licenses
StateLicense IDTaxonomies
CAA93276207Q00000X
MA232725207Q00000X
NC2008-01775207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine