Organization
GIBB ANESTHESIA
Active
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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