Individual
GIBSON TEAGUE GAMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
151 DANISH CIRCLE, GIRDWOOD, AK 99587-0907
(907) 540-0443
Mailing address
417 1ST AVE, SEWARD, AK 99664
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
215874
AK
363A00000X
Physician Assistant
PA0008432
CO
363A00000X
Physician Assistant
PA65486
CA
Other
Enumeration date
08/29/2022
Last updated
12/24/2024
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