Individual
DR. MARY-LIBERTY Y GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6210 N DURANGO DR BLDG 11, LAS VEGAS, NV 89149-3916
(702) 940-1540
(702) 940-1541
Mailing address
10624 S EASTERN AVE, # A-955, HENDERSON, NV 89052-2982
(702) 407-7700
(702) 407-7016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2536
NV
207R00000X
Internal Medicine Physician
0102203392
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235425448
—
NV
01
—
DO2536
STATE LICENSE
NV
Enumeration date
06/26/2011
Last updated
02/25/2021
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