Individual
DR. CANDACE L GIBBIN
Active
Individual
DR. CANDACE L GIBBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
MD071808L
PA
2080P0202X
Pediatric Cardiology Physician
Primary
N3669
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018146860012
—
PA
05
—
0018146860013
—
PA
01
—
MD071808L
MEDICAL LICENSE NUMBER
PA
01
—
N3669
MEDICAL LICENSE NUMBER
TX
Enumeration date
03/24/2006
Last updated
10/04/2011
Update your record
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