# DANIEL L GIBSON

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

## Provider details

- **NPI number:** 1699748772
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2000169649 | MO | Yes |

## Other

- **Enumeration date:** 02/09/2006
- **Last updated:** 06/28/2012

## 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 | — |