Individual
GRANT GIBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HOSPITAL WAY, BUTLER, PA 16001-4670
(724) 283-6666
Mailing address
12500 WILLOWBROOK RD, CUMBERLAND, MD 21502-6393
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
H010004
MD
2084N0400X
Neurology Physician
OS018486
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT016509
PA
Other
Enumeration date
05/14/2015
Last updated
07/08/2024
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