Individual
KRISTINA YVONNE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
6978
AZ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
6978
AZ
2086S0120X
Pediatric Surgery Physician
Primary
6879
AZ
2086S0120X
Pediatric Surgery Physician
6978
AZ
Other
Enumeration date
11/24/2017
Last updated
12/30/2021
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