Healthcare Provider Details

I. General information

NPI: 1528590890
Provider Name (Legal Business Name): DENISE N. GAMBLE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

272 HOSPITAL RD
CHILLICOTHEE OH
45601-9031
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 740-779-7658
  • Fax: 740-779-7323
Mailing address:
  • Phone: 740-779-7658
  • Fax: 740-779-7323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number34.014880
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: