Paul H Gibson MD

NPI 1013909613 - Internal Medicine - 207RI0011X

NPI Details
NPI 1013909613
Gender Male
Enumeration Date 08/19/2005
Last Updated 01/15/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
11188 TESSON FERRY ROAD
SUITE 100
SAINT LOUIS MO, 63123, US
Phone (314) 849-5300
Fax (314) 849-2014
Business Location
11188 TESSON FERRY RD
SUITE 100
SAINT LOUIS MO, 63123-6962, US
Phone (314) 849-5300
Fax (314) 849-2014
Toxanomy
Taxonomy Code 207RI0011X
License State Missouri
License Number MDR8115
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According to our database, Paul H Gibson MD NPI is 1013909613, taxonomy code is 207RI0011X and license number is MDR8115, license state is located at Missouri. Paul H Gibson MD physically located at 11188 Tesson Ferry Road, Saint Louis MO, 63123. NPI Number Paul H Gibson MD has the Individual type.

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1013909613 NPI number is provided on an as is basis without warranty of any kind. 1013909613 is maintained by the National Plan & Provider Enumeration System. The contents of Paul H Gibson MD are for informational purposes only.