Provider Demographics
NPI:1265492227
Name:GABALL, CURTIS WESLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:WESLEY
Last Name:GABALL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4560 CHURCH POINT PL
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-4363
Mailing Address - Country:US
Mailing Address - Phone:757-464-1761
Mailing Address - Fax:
Practice Address - Street 1:4560 CHURCH POINT PL
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-4363
Practice Address - Country:US
Practice Address - Phone:757-464-1761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01054858A207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology