Individual
KIM RENEE OLSON GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7301 E 2ND ST, SUITE 300, SCOTTSDALE, AZ 85251-5600
(480) 949-9047
(480) 994-5586
Mailing address
7301 E 2ND ST, SUITE 300, SCOTTSDALE, AZ 85251-5600
(480) 949-9047
(480) 994-5586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31648
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
926230
—
AZ
Enumeration date
11/17/2005
Last updated
10/24/2007
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