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Individual
GARY J SCIBAL
Active
Individual
GARY J SCIBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD019684E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006457200001
—
PA
01
—
01445802
CAPITAL BLUE CROSS
PA
01
—
043855
HIGHMARK BLUE SHIELD
PA
01
—
21388 S1QG
GEISINGER HEALTH PLAN
PA
01
—
5472075
AETNA NON-HMO
PA
01
—
578402
AETNA HMO
PA
01
—
B34269
HEALTH ASSURANCE
PA
01
—
P002713
GATEWAY HEALTH PLAN
PA
Enumeration date
12/12/2005
Last updated
09/01/2007
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