Individual
DR. DARA TANIA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1717 W 8TH ST, COFFEYVILLE, KS 67337
(620) 251-0777
(620) 251-4173
Mailing address
PO BOX 505262, SAINT LOUIS, MO 63150-5262
(620) 688-6566
(620) 688-6577
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
04-35593
KS
Other
Enumeration date
03/06/2012
Last updated
04/07/2020
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