Individual
PRESTON ALEXANDER GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2206 CHRISTINE ST, SPRINGDALE, AR 72762-6527
(405) 312-9322
Mailing address
2206 CHRISTINE ST, SPRINGDALE, AR 72762-6527
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/02/2019
Last updated
02/02/2019
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