# JEFFREY L GIBSON DO PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** jeff gibson do
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164555058
- **Authorized official:** DR. JEFFREY GIBSON DO (OWNER)
- **Authorized official phone:** (918) 273-2761

## Contact information

- **Practice address:** 307A S LOCUST ST, NOWATA, OK 74048-3622
- **Practice address phone:** (918) 273-2761
- **Practice address fax:** (918) 273-2753
- **Mailing address:** 307A S LOCUST ST, NOWATA, OK 74048-3622
- **Mailing address phone:** (918) 273-2761
- **Mailing address fax:** (918) 273-2753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3261 | OK | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 08/22/2020