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Individual
DANIEL L GIBSON
Active
Individual
DANIEL L GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000169649
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174322
BCBS
—
01
—
2095433
FIRST HEALTH
—
05
—
245920210
—
MO
01
—
2623345
CIGNA
—
01
—
440546366
UNITED HEALTCARE
—
01
—
534157
HEALTHLINK
—
01
—
H70166
MERCY
—
01
—
P00026725
RR MEDICARE
—
Enumeration date
02/09/2006
Last updated
06/28/2012
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