IndividualActive
John Gamboa, MD
NPI 1477597045 · Radiation Oncology Physician · Boise, ID
Provider details
- NPI number
- 1477597045
- Entity type
- Individual
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M5607 (ID)
Mailing address
9357 W Emerald St
Boise, ID 83704-9752
Registry dates
- Enumerated
- 2006-06-15
- Last updated
- 2018-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.