Individual
MELISSA SUE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9800 BROADWAY EXT STE 201, OKLAHOMA CITY, OK 73114-6304
(405) 419-5665
(405) 419-5429
Mailing address
9800 BROADWAY EXT STE 201, OKLAHOMA CITY, OK 73114-6304
(405) 419-5665
(405) 419-5429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1339
OK
Other
Enumeration date
12/18/2006
Last updated
10/17/2018
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