Todd Edward Gibson MS,PA-C

NPI 1962426742 - Physician Assistant - 363AM0700X

NPI Details
NPI 1962426742
Gender Male
Enumeration Date 07/26/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
332 CONGRESS PARK DR
DAYTON OH, 45459-4133, US
Phone (740) 623-4124
Fax
Business Location
15150 PINEWOOD TRL
NEWARK OH, 43055-9147, US
Phone (740) 763-4581
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Ohio
License Number 50-002304
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According to our database, Todd Edward Gibson MS,PA-C NPI is 1962426742, taxonomy code is 363AM0700X and license number is 50-002304, license state is located at Ohio. Todd Edward Gibson MS,PA-C physically located at 332 Congress Park Dr, Dayton OH, 45459-4133. NPI Number Todd Edward Gibson MS,PA-C has the Individual type.

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1962426742 NPI number is provided on an as is basis without warranty of any kind. 1962426742 is maintained by the National Plan & Provider Enumeration System. The contents of Todd Edward Gibson MS,PA-C are for informational purposes only.