Individual
DR. TERRI L GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1001 N 27TH ST, BOISE, ID 83702-2202
(208) 345-7646
Mailing address
2609 ARTHUR ST, BOISE, ID 83703-4827
(208) 342-7632
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
C893
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010022602
REGENCE B SHIELD
ID
01
—
C6665
BLUE CROSS
ID
Enumeration date
12/18/2006
Last updated
07/08/2007
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