# DR. ROBERT RANDALL GIBSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1700904406
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 29061 | CO | — |
| 207Q00000X | Family Medicine Physician | 5493 | AK | Yes |
| 207Q00000X | Family Medicine Physician | A51581 | CA | — |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 08/08/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MD3965 | — | AK |