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Individual

DR. JOSHUA DALE GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3448 US ROUTE 60, HUNTINGTON, WV 25705-2906
(304) 522-1550
(304) 522-1073
Mailing address
PO BOX 910, HUNTINGTON, WV 25712-0910
(304) 522-1550
(304) 522-1073

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25230
WV
2085R0202X
Diagnostic Radiology Physician
35.121086
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0084651
OH
05
3810025846
WV
05
7100243270
KY
Enumeration date
07/13/2007
Last updated
04/18/2024
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