NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

MICHAEL J GIBSON, P.A.-C. – NPI #1487681201
Medical


Contact Information

MICHAEL J GIBSON, P.A.-C.
100 MCDOUGAL DR
HOLDENVILLE, OK74848-2822
 Phone: 405-379-4202
 Fax: 405-379-4340
 Website:
 

Specialty

Taxonomy

Medical

363AM0700X
Indicates primary specialty
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NPI Information

NPI Number 1487681201
Credentials P.A.-C.
Entity Individual
Enumeration date 06/27/2006
Last updated 10/17/2011
Sole proprietor No
Identifiers
OK License # 199
OK Medicaid 100848080A
Medicare (Unspecified) 245531101
Medicare UPIN R84266
Other 0784740001 DMERC REGION C
Other P00266954 PALMETTO GBA RAILROAD MC

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