Organization
GIBSON FAMILY MEDICINE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARI LYNN GIBSON M.D. (CEO, DIRECTOR, OFFICER, PHYSICIAN)
(480) 656-7654
Entity
Organization
Contact information
Practice address
5111 N SCOTTSDALE RD, SUITE 201, SCOTTSDALE, AZ 85250-7075
(480) 656-7654
(480) 656-8718
Mailing address
5111 N SCOTTSDALE RD, SUITE 201, SCOTTSDALE, AZ 85250-7075
(480) 656-7654
(480) 656-8718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17146
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00952883
MEDICARE RAIL ROAD
AZ
Enumeration date
08/04/2010
Last updated
09/12/2011
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