David R Gibson CRNA

NPI 1689801367 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1689801367
Gender Male
Enumeration Date 06/19/2009
Last Updated 06/19/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
100 S BECKHAM AVE
TYLER TX, 75702-7501, US
Phone (903) 531-8638
Fax
Business Location
8270 GODFREY RD
SHREVEPORT LA, 71129-9732, US
Phone
Fax
Toxanomy
Taxonomy Code 367500000X
License State Texas
License Number 767683
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According to our database, David R Gibson CRNA NPI is 1689801367, taxonomy code is 367500000X and license number is 767683, license state is located at Texas. David R Gibson CRNA physically located at 100 S Beckham Ave, Tyler TX, 75702-7501. NPI Number David R Gibson CRNA has the Individual type.

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1689801367 NPI number is provided on an as is basis without warranty of any kind. 1689801367 is maintained by the National Plan & Provider Enumeration System. The contents of David R Gibson CRNA are for informational purposes only.