Individual
DR. MICHAEL G GIBSON
Active
Individual
DR. MICHAEL G GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
17424
AL
207LP2900X
Pain Medicine (Anesthesiology) Physician
17424
AL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
17424
AL
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
17424
AL
208VP0000X
Pain Medicine Physician
17424
AL
208VP0014X
Interventional Pain Medicine Physician
Primary
17424
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0510 25521
BLUECROSSBLUESHIELD AL
AL
01
—
167883900
US DEPT OF LABOR
—
01
—
20-00232
UNITED HEALTHCARE
AL
05
—
529502690
—
AL
Enumeration date
01/16/2007
Last updated
10/31/2017
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