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Contact Information

DANIEL P GIBSON, MD
333 N 1ST ST STE 250
BOISE, ID83702-6132
 Phone: 208-381-9384
 Fax: 208-381-9385
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Neuroradiology

2085N0700X
Indicates primary specialty

NPI Profile & details for DANIEL P GIBSON · (Male)

NPI # 1952477929
Status Active
Credentials MD
Entity Individual
Enumeration date 11/28/2006
Last updated 01/10/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-17359
  • WI License # 65310
  • ID Medicaid M-17359
  • TN Medicaid Q006012
Hospital affiliation(s)
  • COLUMBIA ST MARY'S HOSPITAL MILWAUKEE - (Acute Care)
    2323 N LAKE DR
    MILWAUKEE, WI 53211
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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