# GORDON F GIBBS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417929373
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | 43153 | MN | — |
| 2085R0202X | Diagnostic Radiology Physician | 45004 | CO | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 35524 | NE | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 45004 | CO | Yes |

## Other

- **Enumeration date:** 02/06/2006
- **Last updated:** 04/06/2023