Individual
DR. SARA FAITH GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 S YALE ST, FLAGSTAFF, AZ 86001-6328
(928) 774-7128
Mailing address
PO BOX 579, 470 W CLEVELAND, SAINT JOHNS, AZ 85936-0579
(928) 333-2683
(928) 333-5595
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19950
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0609250
BCBS PIN
AZ
01
—
F46834
UPIN
AZ
01
—
Z78372
MEDICARE LEGACY GROUP #
AZ
01
—
Z78374
MEDICARE PROVIDER NUMBER
AZ
Enumeration date
10/10/2005
Last updated
05/02/2018
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