Individual
PAUL H GIBSON
Active
Individual
PAUL H GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
MDR8115
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060012489
RR MCR
—
01
—
100777
HEALTHLINK
—
05
—
201166410
—
MO
01
—
21837
BLUE SHIELD BLUE CHOICE
MO
01
—
2500159
UNITED HEALTH CARE
—
01
—
4061051
AETNA
—
01
—
42440
GROUP HEALTH PLAN
—
Enumeration date
08/19/2005
Last updated
08/30/2016
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