Individual
DR. SIMON A. L. GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 KENNEDY MEMORIAL DR, SUITE 304, WATERVILLE, ME 04901-4540
(207) 861-7874
(207) 861-4646
Mailing address
222 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4526
(207) 861-3000
(207) 873-2385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
017545
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3247815
U.K. GMC REG #
—
Enumeration date
11/13/2007
Last updated
12/08/2011
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