Individual
MILES J GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 E DANNA AVE, WASILLA, AK 99654-6422
(907) 474-0890
Mailing address
PO BOX 1093, PALMER, AK 99645-1093
(907) 231-5023
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
08/13/2025
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