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Individual

DR. BRADLEY P GIPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
4307 BALL CAMP PIKE, KNOXVILLE, TN 37921-3313
(865) 524-1234
(865) 524-1234
Mailing address
4307 BALL CAMP PIKE, KNOXVILLE, TN 37921-3313
(865) 524-1234
(865) 524-2169

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM661
TN
213ES0103X
Foot & Ankle Surgery Podiatrist
PO3172
FL

Other

Enumeration date
07/28/2006
Last updated
01/30/2012
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