Individual
DR. JAMES P GIBFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
474 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2463
(937) 399-9500
(937) 342-4236
Mailing address
474 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2463
(937) 399-9500
(937) 342-4236
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-034870
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000004263
ANTHEM
OH
05
—
0543433
—
OH
01
—
062931000
MAGELLAN
OH
Enumeration date
10/26/2005
Last updated
09/20/2013
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