Individual
MR. JEFFREY LYNN GIBSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
307A S LOCUST, NOWATA, OK 74048-3622
(918) 273-2761
(918) 273-2753
Mailing address
307A S LOCUST, NOWATA, OK 74048-3622
(918) 273-2761
(918) 273-2753
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3261
OK
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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