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Organization
HUGO V GIBSON DC, PC
Active
Organization
HUGO V GIBSON DC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUGO VIVIER GIBSON DC (PRESIDENT)
(816) 525-4086
Entity
Organization
Contact information
Practice address
1801 NW KILLARNEY LN, LEES SUMMIT, MO 64081-1606
(816) 525-4086
(816) 525-3103
Mailing address
1801 NW KILLARNEY LN, LEES SUMMIT, MO 64081-1606
(816) 525-4086
(816) 525-3103
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5440
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114069770
INDIVIDUAL NPI
MO
01
—
13551028
BCBS PROVIDER NUMBER
MO
01
—
35100018
BCBS GROUP NUMBER
MO
Enumeration date
07/11/2008
Last updated
07/11/2008
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