Individual
EMILY MARION GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
815 FREEPORT RD, PITTSBURGH, PA 15215-3301
(412) 784-5374
Mailing address
815 FREEPORT RD, PITTSBURGH, PA 15215-3301
(412) 784-5374
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
MA057964
PA
363AS0400X
Surgical Physician Assistant
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031098860001
—
PA
Enumeration date
08/19/2015
Last updated
11/17/2023
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