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Individual

DR. EDWARD F GIBBONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-3475
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2023-00965
NC
207RC0000X
Cardiovascular Disease Physician
66586
AZ
207RC0000X
Cardiovascular Disease Physician
89019
SC
207RC0000X
Cardiovascular Disease Physician
91964
GA
207RC0000X
Cardiovascular Disease Physician
CDR.0001690
CO
207RC0000X
Cardiovascular Disease Physician
Primary
MD00022606
WA
207RC0000X
Cardiovascular Disease Physician
T7108
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039571
L&I
WA
05
1144294232
WA
Enumeration date
02/15/2006
Last updated
05/02/2023
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