Healthcare Provider Details

I. General information

NPI: 1215866678
Provider Name (Legal Business Name): DUNCAN ALEXANDER GAMBLE MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 ELMWOOD AVE
BURLINGTON VT
05401-4347
US

IV. Provider business mailing address

31 ELMWOOD AVE
BURLINGTON VT
05401-4347
US

V. Phone/Fax

Practice location:
  • Phone: 802-836-7423
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number097.0136917
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: