Individual
WILFORD K GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6160 KEMPSVILLE CIR, SUITE 200B, NORFOLK, VA 23502-3933
(757) 321-3383
(757) 321-3332
Mailing address
230 CLEARFIELD AVENUE, SUITE 124, VIRGINIA BEACH, VA 23462
(757) 321-3383
(757) 321-3332
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101040284
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6403999
—
VA
Enumeration date
04/27/2006
Last updated
09/15/2015
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