IndividualActive
Nicholas Gamboa, M.D.
NPI 1043716913 · Neurological Surgery Physician · Boise, ID
Provider details
- NPI number
- 1043716913
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD225480 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1072 N Liberty St Ste 200
Boise, ID 83704-8963
Phone: (208) 302-4100
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 190930
Boise, ID 83719-0930
Additional practice locations (1)
- 3325 Pocahontas RdBaker City, OR 97814-1464Phone: (541) 523-6461
Registry dates
- Enumerated
- 2018-04-01
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.