Provider Demographics
NPI:1215252622
Name:GAMBER, MATTHEW STEVEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:STEVEN
Last Name:GAMBER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33990 N 60TH PL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85266-6301
Mailing Address - Country:US
Mailing Address - Phone:480-221-5405
Mailing Address - Fax:
Practice Address - Street 1:11250 N 92ND ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6148
Practice Address - Country:US
Practice Address - Phone:480-391-5052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS016736183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist