Individual
MYLES D GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2978
(202) 884-5042
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2978
(202) 884-5042
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
MD14109
DC
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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