Individual
J DAVID GIBEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 N CAMPBELL AVE, SUITE 102, TUCSON, AZ 85719-2315
(520) 577-1200
(520) 577-1559
Mailing address
PO BOX 30370, TUCSON, AZ 85751-0370
(520) 722-0777
(520) 290-9713
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
13121
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
249202
—
AZ
Enumeration date
09/14/2006
Last updated
10/22/2007
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