Individual
MARILYN ACHILLE GIBBS
Active
Individual
MARILYN ACHILLE GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD00025090
WA
207R00000X
Internal Medicine Physician
Primary
MD00025090
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0185265
LABOR& IND PROV #
WA
05
—
8133985
—
WA
01
—
GI0004
REGENCE BS PROV#
WA
Enumeration date
08/03/2006
Last updated
06/15/2020
Update your record
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