Individual
CLAYTON GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
311 S 15TH ST, COSHOCTON, OH 43812-1873
(740) 622-1200
Mailing address
PO BOX 57, WEST LAFAYETTE, OH 43845-0057
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35085233
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2524665
—
OH
Enumeration date
07/13/2006
Last updated
07/08/2007
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