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Organization

GIBB ANESTHESIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUSTIN R GIBB (PRESIDENT)
(208) 412-7816
Entity
Organization

Contact information

Practice address
1828 S MILLENIUM WAY, MERIDIAN, ID 83642-5036
(208) 445-2456
(208) 445-2459
Mailing address
PO BOX 2263, IDAHO FALLS, ID 83403-2263
(800) 338-5378

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
01/13/2014
Last updated
09/04/2025
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