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Individual

MARILYN ACHILLE GIBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7440 PACIFIC AVE, TACOMA, WA 98408-7117
(253) 475-0511
Mailing address
7440 PACIFIC AVE, TACOMA, WA 98408-7117
(253) 475-0511

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
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