# GIBSON FAMILY MEDICINE P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033423793
- **Authorized official:** DR. SHARI LYNN GIBSON M.D. (CEO, DIRECTOR, OFFICER, PHYSICIAN)
- **Authorized official phone:** (480) 656-7654

## Contact information

- **Practice address:** 5111 N SCOTTSDALE RD, SUITE 201, SCOTTSDALE, AZ 85250-7075
- **Practice address phone:** (480) 656-7654
- **Practice address fax:** (480) 656-8718
- **Mailing address:** 5111 N SCOTTSDALE RD, SUITE 201, SCOTTSDALE, AZ 85250-7075
- **Mailing address phone:** (480) 656-7654
- **Mailing address fax:** (480) 656-8718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 17146 | AZ | Yes |

## Other

- **Enumeration date:** 08/04/2010
- **Last updated:** 09/12/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | P00952883 | MEDICARE RAIL ROAD | AZ |