Individual
MERLYN D GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1765 TIVERTON AVE, BROOMFIELD, CO 80023-9310
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN, STE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
21787
NE
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0024218
CO
Other
Enumeration date
07/15/2006
Last updated
04/14/2016
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