Duane Phillip Gibson O.D.

NPI 1083609101 - Optometrist - 152W00000X

NPI Details
NPI 1083609101
Gender Male
Enumeration Date 09/14/2005
Last Updated 12/12/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
817 COURT ST
SUITE 10
JACKSON CA, 95642-2156, US
Phone (209) 223-2020
Fax (209) 223-2046
Business Location
817 COURT ST
SUITE 10
JACKSON CA, 95642-2156, US
Phone (209) 223-2020
Fax (209) 223-2046
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 10077T
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According to our database, Dr. Duane Phillip Gibson O.D. NPI is 1083609101, taxonomy code is 152W00000X and license number is 10077T, license state is located at California. Duane Phillip Gibson O.D. physically located at 817 Court St, Jackson CA, 95642-2156. NPI Number Duane Phillip Gibson O.D. has the Individual type.

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1083609101 NPI number is provided on an as is basis without warranty of any kind. 1083609101 is maintained by the National Plan & Provider Enumeration System. The contents of Duane Phillip Gibson O.D. are for informational purposes only.